City of Crestwood Public Safety Registration Program

 Step 1 of 1

The City of Crestwood's Police and Fire Department are now offering a registration program for residents that may need additional assistance due to health, mobility, or effects of aging concerns. The purpose of this program is to gather information for use by the Fire and Police Departments in case of a medical emergency or other event. 

Information that could be shared includes garage door codes, location of a spare key, names of neighbors that have access, and/or an emergency contact that could be called upon in the event that something were to happen. Any personal information provided, will be stored on a secure server and would not be shared with anyone outside of the Police and Fire Departments. 

To register yourself or someone you know, please fill out the form below. The form will ONLY be submitted to a designated staff member in the Police and Fire Departments. 

If you do not want to submit the form electronically, you can fill out the PDF version located here, and turn it in to either department at Crestwood City Hall. 

* Denotes a required field
Date*
 Date
*
*
*
ZIP*
-
Second portion of ZIP Code is optional.
*
 
*
Primary Phone*
-- ext
Patient D.O.B 
 Patient D.O.B
*
*
Emergency Contact Phone 
-- ext
Date to Purge Premise (if applicable) 
 Date to Purge Premise (if applicable)
*

Contact Us

1 Detjen Drive
Crestwood, MO 63126
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  • Phone: 314-729-4700
  • Staff Directory