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Delaware Emergency Management Agency

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State of Emergency Driving Restrictions

Level II Emergency Driving Restriction Waiver Point of Contact Change


 



Entity or Organization Information
Previous Contact Person Information
New Contact Person Information
What Is The Reason For This Change?
* Acceptance Statement

By acknowledging this statement, I affirm I have the proper authority within my organization to request this change. I also affirm my organization is aware it is solely responsible for notifying the Delaware Emergency Management Agency (DEMA) of any change in information for their primary point of contact. DEMA uses this point of contact for sending out waiver renewal notices, and/or communicating any changes to the Emergency Driving Waiver Program. DEMA is not responsible for delays in processing waiver requests due to inaccurate contact information as provided by the applicant.