Yellow Dot is a free program designed to help first responders provide life-saving medical attention during that first “golden hour” after a crash or other emergency. A Yellow Dot in the driver's-side rear window of your vehicle will alert first responders that vital medical information is stored in the glove compartment.

How Yellow Dot Works

The Yellow Dot kit contains a personal information card and a Yellow Dot decal.

1. Complete both sides of the personal information card as fully as possible, in pencil. Attach a recent photo of yourself and place it in a visible location in your car’s glove compartment.

2. Complete one card for each person who regularly occupies the vehicle. See below to request additional medical information forms.

3. Place the Yellow Dot decal on the rear driver’s side window to alert first responders to look in the glove compartment for your medical information.

4. Update the card annually yourself or bring it to your annual medical check-up. If you sell your car, remove the Yellow Dot sticker.

Use Yellow Dot at Home

A Yellow Dot kit can also be used to alert those who respond to an emergency in your home. Simply place a Yellow Dot decal on or beside your front door and place a completed card for each occupant in a clear plastic freezer bag and place in a visible location in the freezer compartment of your refrigerator.

Yellow Dot kits are available for free. To request a kit, click on the Email Link below (be sure to include your name & mailing address) and we will send one to you in the mail. Request kits for your friends and family, too!  Download sample forms below.

email for Kit Request

download Yellow Dot sample B&W (PDF)
download Yellow Dot sample Color (large PDF)

Remember, the Official Yellow Form Card is used to quickly Identify the form (Due to the color) in an emergency situation.  Use of downloaded sample forms, Is Not recommended.  We will gladly send you additional Kits if requested.