Leeds Area Fire and Emergency Services
Leeds Area Special Service District
730 N. Main St. * P.O. Box 460901 * Leeds, UT 84746
Office and Fax: 435-879-2881
lassd@infowest.com
To the Leeds Community:
In an effort to provide progressive emergency services to our community, the Leeds Area Fire Department needs your help. We are creating a special needs database that will inform emergency personnel of your needs in the event of an evacuation or disaster. Examples… Unable to leave your home without help, need medical oxygen in the event of a prolonged power failure.
Please fill out the form below, this information will be used for emergency purposes only and will be kept confidential. This form can be returned with your trash bill or mailed to the fire department at the address listed above. If you have any questions please feel free to contact me.
Thank You,
Chief Steve Lewis
Name(s):
Physical Address:
Mailing Address:
E-mail Address:
Phone Number(s):
Please Provide a Description of your Special Need(s) in the space below:
LEEDS AREA FIRE DEPARTMENT
Official Website of the
LEEDS AREA SPECIAL SERVICE DISTRICT
SPECIAL NEEDS FORM
TRAINING & SCHEDULING
