Form Center

2. [For Residents of Cleveland]
   The City of Cleveland is initiating a Severe Weather Shelter Registration Program. This free, voluntary program allows residents of Cleveland who own a personal severe weather shelter in the Cleveland area to register their shelter with the City of Cleveland. Shelter registration is part of our effort to be proactive in response to rescue situations that can occur as a result of severe weather.
   
   This program will provide rescue personnel with valuable time-saving location information should a storm shelter exit be blocked by debris or structural damage caused by severe weather.
   
   We encourage shelter owners to include an out-of-town accountability contact as part of their personal severe weather plan. This program provides an additional safeguard against being trapped in a shelter.
   
   To register a storm cellar, Safe Room, or other personal severe weather shelter, contact the Cleveland Fire Department at 358-3112 or register on-line by filling out the form below. Information recorded will include the owner's name, location of the shelter, owner telephone contact number(s), and a brief description of the the shelter type and specific location.
   
   This information will be maintained by the City of Cleveland and used only in the event of structural damage from severe weather or other related incidents.
   
   For planning assistance, further information, or if you have any questions please feel free to contact Cleveland Fire Chief Ryan Murray at (918) 358-3112.
   
   It is only necessary to register your shelter once. Please fill out the form below.
4. First Name:*
5. Last Name:*
7. Email Address:
8. Phone:*
9. Cell Phone:
11. Address:*
13. City:*
14. State:*
15. Zip:*
17. GPS Coordinates:
19. Type of Shelter:*
    -- Select One --Safe RoomOther
20. If other, please provide additional information.
22. Location of Shelter:*
    -- Select One --BackyardFrontyardGarageCenter of HomeNE Corner of HomeNW Corner of HomeSE Corner of HomeSW Corner of HomeOther
23. If other, please provide additional information.
25. Total In Household:*
26. Pets Belonging to Family:*
28. Would you like to include an Out of Town Contact?*

    1. Yes
    2. No
30. Out of Town Contact First Name:
31. Out of Town Contact Last Name:
33. Out of Town Contact Phone:
34. Relationship:
36. Comments:
Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit Submit and Print

* indicates a required field