702 Main StreetWinters, CA 95694Dispatch 530-795-4561 | Officer 530-795-2261Fax 530-795-3921
(used for annual update reminders)
By submitting this information you affirm the following: I understand the information I provide about health and/or medical conditions may be shared with Police, Fire, and other emergency responders to assist them in responding to an emergency or disaster. I understand providing this information does not insure that emergency responders will be able to provide services in an emergency, but will assist them in responding appropriately based on available resources. I understand I may revoke consent to sharing information/enrollment in SNAP at any time by sending a written request to: Winters Police Department Attn: SNAP 702 Main St Winters, CA 95694. I certify the information provided on this form is true and correct. I acknowledge it is my responsibility to update the information on this form as
This field is not part of the form submission.
* indicates a required field
318 1st Street
Winters, CA 95694