You can also find this survey form on-line at ready.maricopa.gov. Click on the Palo Verde Generating Station link and then the Evacuation Assistance link. If you have questions or would like assistance to complete this survey please contact (602) 273-1411 or TDD/TTY (602) 244-1409.
Would you or any member of your family, (including children or elderly home unattended during the day), require evacuation transportation assistance to leave your home on short notice?
(check all that apply)
1. Do you have a food garden that you grow broad-leaf produce (lettuce, spinach, cabbage, etc.) that is at least 500 square feet?
2. Do you have a goat or cow that you gather milk from?
3. Do you have any additional animals/pets? If yes, how many?
This field is not part of the form submission.
* indicates a required field