zowouse _ osweco (eB) county fay ENHANCED 911 MICHAEL b, ALLEN OSWEGO COUNTY E-911 TTY USER QUESTIONNAIRE DATE: NAME: STREET ADDRESS:, MAILING ADDRESS (if different) CITY/TOWN: »NY ZIP CODE: PHONE NUMBER: TTY ONLY:(>) _ VOIGEITTY: (>) CELL PHONE NBR:. EMAIL ADDRESS: SINGLE FAMILY HOUSE:(~>) APARTMENT: () TRAILER: (>) OTHER: oO OTHER(Trailer Park/Apartment Complex), EXPLAIN: Description/Color, Apt #, etc.: Nearest Cross Streets To Your House: Other Important Information You Feel We Should Know: NAME AND AGES OF ALL PERSONS THAT LIVE IN THE HOME: Name Age Deaf Hearing Hearing Imp. Speech Imp. IN CASE OF EMERGENCY NAME: RELATIONSHIP. PHONE( ). ) ) ) Return Form To: — MICHAEL ALLEN, E-911 DIRECTOR County of Oswego Emergency Communications Department 39 Churchill Road Oswego, NY 13126 ttyuserquestionnaienet doe 08108