Register Your Storm Shelter | Chickasaw Nation

> Our Nation > Government > Emergency Response > Register Your Storm Shelter

Please complete the following form to register your installed storm shelter with the Chickasaw Nation. Chickasaw Nation Emergency Management encourages citizens who have a storm shelter to also register with their county of residence’s emergency management department.

This is not an application for the storm shelter program. To apply for a storm shelter, please visit the storm shelter program service page.

First Name:

Last Name:

Street Address:

Street Address (i.e, Apt #, Suite #, etc):

City:

State/Providence:

Zip Code:

Phone Number:

Latitude & Longitude:

Chickasaw or other Native American Resident:

Type of Shelter:

How many people can the shelter hold?:

How many people, on average, use the shelter during a storm?:

Is there anyone on special medications using the shelter?:

Is there food and water in the shelter?:

Does anyone in the home utilize special medical equipment, wheelchairs, oxygen, etc.?:

Location of shelter on the property:

Comments: