Persons with Disabilities Registry

The Persons with Disabilities Registry Program, initiated by the South Miami Police Department, is an outreach initiative designed to enhance our officers' ability to serve community members living with specific disabilities or cognitive impairments. This program aims to establish and maintain a comprehensive database of individuals with whom we may interact, with the ultimate goal of optimizing our response strategies. This program is to help those with special needs feel safe and comfortable around police officers.

Please note that, depending on the entirety of the circumstances, there might be situations where we are unable to respond with consideration (i.e.: exigent circumstances).

Eligibility

Individuals meeting the following criteria are eligible to enroll in the South Miami Police Department Persons with Disabilities Registry.

  1. Current resident of the City of South Miami or qualifying occupant; and  
  2. Individuals must have any of the following certified disability and/or condition(s); 

 

  1. Autism;
  1. Blind;
  1. Deaf;
  1. Non-verbal;
  1. Intellectual disability;
  1. Dementia; and/or 
  1. Any other cognitive impairment.  


Registration:

An adult with a qualifying disability may enroll himself or herself in the registry. If a person with a disability has been declared incapacitated, a parent or legal guardian of the person may enroll him or her in the registry. Parents and guardians may voluntarily enroll minors and incapacitated individuals in the registry.

The application must include the following (as applicable):

  1. Confirmation of a disability or condition and it must be certified by a licensed physician or licensed physician assistant or a licensed advanced practice registered nurse. 
  1. Confirmation of a psychological condition and it must be certified by a licensed psychologist, licensed mental health counselor, or a psychiatrist.

Parents, legal guardianship, or other legal authority enrolling a minor or incapacitated person should complete the registry form and include the above confirmation by a medical practitioner and any of the following (as applicable):

  1. A birth certificate as described in FS. 382.013;
  2. A power of attorney, as defined in FS. 709.2102(9);
  3. A court order establishing parental rights or guardianship; or
  4. Letters of guardianship as described in FS. 744.345.

The form below is to be filled out with information about the person with the qualifying disability. This form will be sent directly to the Communications Division of the South Miami Police Department. The information will be kept confidential and made available only to law enforcement entities. For more information please call, South Miami Police Department's Communications Division at: (305) 663-6301 or email us at scommunications@southmiamipdfl.gov

To have a person removed from the program or to make any updates/changes to the person's information, please email scommunications@southmiamipdfl.gov. Please include the reason for removal or the updated information along with your contact information for any follow-up questions we may have.

Persons with Disability Registry Application

  1. SECTION 1: INFORMATION ABOUT THE PERSON WITH DISABILITY
  2. SECTION 2: RESIDENTIAL INFORMATION
  3. SECTION 3: DISABILITY INFORMATION
  4. Please list any characteristics that are associated with this person: (Examples include sensory issues, certain behaviors, physical aggression, calming strategies, trigger mechanisms, audio or visual aids, or previous dealings with police.)

  5. What is the best method of communication with this individual? (Examples include words, pictures, electronic devices, etc.)

  6. SECTION 4: ADDITIONAL CONTACT INFORMATION
  7. SECTION 5: PARENT/ GUARDIAN INFORMATION
  8. Supporting Documentation

    Person with Disability Supporting Documentation:

    a. Confirmation of a disability or condition and it must be certified by a licensed physician or licensed physician assistant or a licensed advanced practice registered nurse; and /or

    b. Confirmation of a psychological condition and it must be certified by a licensed psychologist, licensed mental health counselor, or a psychiatrist.

    c. A facial photograph in portrait orientation.

    Parent/ Guardian Supporting Documentation:

    a. A birth certificate as described in FS. 382.013;

    b. A power of attorney, as defined in FS. 709.2102(9);

    c. A court order establishing parental rights or guardianship; or

    d. Letters of guardianship as described in FS. 744.345. 

  9. Leave This Blank:

  10. This field is not part of the form submission.