It is recommended to access and fill this form out using a laptop or desktop device which will allow the form to be filled out digitally.  The form may also be printed, filled out by hand, and scanned.  The completed form should be emailed  as a PDF or DOC file attachment to  Any questions regarding the completion of the forms may be sent to that email.

Contact Us

Los Angeles County Sheriff's Department Antelope Valley CERT

750 E. Avenue Q, Palmdale, CA 93550

(661) 272-2583

(The phone number listed above is not actively monitored.  If you have an emergency and require immediate assistance,

dial 911.)

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A registered Citizen's corps organization

© 2020 by Antelope Valley Community Emergency Response Team.