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City of Memphis

125 N. Main, Memphis, TN, 38103, US

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Cover Sheet – Operation Rescue Form


The purpose of this form is to alert Memphis Fire Services of any individuals needing special assistance in the event of an emergency. 


Please complete each section of the form, being as specific as possible.  The more information you provide, the better Fire Services will be prepared in the event of an emergency. 


There are three (3) ways in which you can submit this information to Fire Services.

  1. Complete the form and then click on the “Submit” button.  The information will be routed to Fire Services for their attention.
  2. Complete the form and then save it (use caution when using a publicly used computer).   To do this, click on the “Download” button and select the location it is to be saved.  You may then either print the completed form and deliver/send to the locations listed below, or e-mail it to:

  1. Print a blank form and complete it by hand or complete the form through the system, and then click on the “Print” button.  Once the form is printed, you may:
    1. Return it to the nearest Fire Station, or
    2. Mail it to:

Operation Rescue

Fire Communications Bureau

79 S. Flicker Street

Memphis, TN  38104-5990

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