Make Your Mark on Neighborhood Preparedness

Make Your Mark on Neighborhood Preparedness
If you have formed a Neighborhood Disaster Support Hub as part of your 5-Step Neighborhood Action Plan and are willing to share your hub's details, please complete and submit the form below.

Your hub information with be added to the Sammamish Crisis Map so the City and residents will know where and how to coordinate emergency information and resources in the event of a disaster.

Any contact information provided will not be published to the Sammamish Crisis Map unless you opt to share that information.
Neighborhood Disaster Support Hub Information
Disaster Support Hub Leader or Point of Contact*

First NameLast Name
Phone Number*

Area CodePhone Number
E-mail*
Alternate Point of Contact

First NameLast Name
Alternate Phone Number

Area CodePhone Number
Alternate Email
example@example.com
Neighborhood or HOA
Disaster Support Hub Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Disaster Support Hub Description*
Example: The hub is located at the basketball courts west of the intersection of 242nd Dr. SE and SE 9th St.
Other Location Details
Meeting instructions for neighborhood members, number of homes supported, etc.
Amateur Radio Capabilities
If members of your neighborhood plan are licensed in Amateur Radio, provide communication capabilities and call signs here.
Please acknowledge the following*

I am voluntarily providing this information to the City of Sammamish Office of Emergency Management.
Your contact information can be posted on the Disaster Support Hub Map. Please choose one of the following options*

I am a Disaster Support Hub Leader or Primary Contact and you may post my contact information so as to connect with other neighbors in Sammamish who have organized for emergency response.I do not want my contact information posted on the Disaster Support Hub map. Please use the Sammamish Office of Emergency Management as our public contact.
Enter the message as it's shown*
Should be Empty:

Make Your Mark on Neighborhood Preparedness

Neighborhood Disaster Support Hub Information