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My JCPD
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MIS Platform
Help Desk
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SERVICES
Accessibility Audit
Disaster Relief Support
Grants
Assistive Aid Grant
Economic Empowerment Grant
Educational Grant
Emergency Grant
Funeral Grant
Medical Grant
Sensitization and Disability Training
PRODUCTS
Accessibility Checklist
RESOURCES
Convention on the Rights of Persons with Disabilities
The Disabilities Act
MILESTONES
50th Anniversary Launch
I Am Able: My JCPD Launch
CONTACT
My JCPD
App
MIS Platform
Help Desk
ABOUT
SERVICES
Accessibility Audit
Disaster Relief Support
Grants
Assistive Aid Grant
Economic Empowerment Grant
Educational Grant
Emergency Grant
Funeral Grant
Medical Grant
Sensitization and Disability Training
PRODUCTS
Accessibility Checklist
RESOURCES
Convention on the Rights of Persons with Disabilities
The Disabilities Act
MILESTONES
50th Anniversary Launch
I Am Able: My JCPD Launch
CONTACT
JCPD
>
Disaster Relief Support
Disaster Relief Support
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Personal Information
Name
*
First
Middle
Last
Date of Birth
*
Address
Address Line 1
*
Address Line 2
*
Parish
--Select Parish--
Hanover
Westmoreland
St. James
St. Elizabeth
Trelawny
Manchester
St. Ann
Clarendon
St. Mary
St. Catherine
St. Andrew
Kingston
Portland
St. Thomas
Gender
*
Male
Female
Telephone Number
*
Are you registered with the JCPD?
*
--- Select Choice ---
Yes
No
Indicate your disability
*
Blind
Visually Impaired
Deaf
Hard Hearing
Intellectual
Physical
Mental Illness
Autism
ADHD
Downs Syndrome
Speech
Type of Identification
*
--- Select Choice ---
Birth Certification
TRN
Voter's ID
Driver's Licenses
Birth Entry Number
*
TRN Number
*
Upload Voter's ID
Front
*
Drag & Drop Files,
Choose Files to Upload
Back
*
Drag & Drop Files,
Choose Files to Upload
Upload Driver's Licenses
Front
*
Drag & Drop Files,
Choose Files to Upload
Back
*
Drag & Drop Files,
Choose Files to Upload
Next of Kin
Name
*
First
Middle
Last
Address
Address Line 1
*
Address Line 2
*
Parish
*
--Select Parish--
Hanover
Westmoreland
St. James
St. Elizabeth
Trelawny
Manchester
St. Ann
Clarendon
St. Mary
St. Catherine
St. Andrew
Kingston
Portland
St. Thomas
Relationship to the Applicant
*
--- Select Choice ---
Mother
Father
Brother
Sister
Spouse
Other
Please specify your relation
*
Telephone Number
*
Impact Assessment
Describe the level of impact received from the hurricane Melissa
*
Infrastructure
Assistive Devices or Aids
Prepare a brief description of the damage for the areas identified
*
Prepare a upload pictures of the damage
*
Drag & Drop Files,
Choose Files to Upload
You can upload up to 25 files.
Upload Address support
Indicate the support you would require
*
Food
Repair to house
Repair to business/livelihood
Repair or replacement of Assistive aids or devices
Counselling
Provide a reason for the support selected
*
Submit
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