Business Emergency Contact Form

The purpose of the Business Contact Registration form is to help the Police Department protect your property.  This form is confidential and it is important that the information on the form is legible, otherwise we will be unable to contact you or your representative in case of an emergency.

  • Business Address * Required
  • Mon - Fri: Sat: Sun:
  • Local Owner/Manager Name * Required
  • Address * Required
  • Local Manager or Employee Contact Information

  • Please list name, address and phone number for at least two employees who have keys to the business and who can be notified of an emergency if the owner/manager is not available. If possible, these individuals should live within one hour of the business.
  • Name * Required
  • Address
  • Name
  • Address
  • Security/Utility Information

  • Do you have a security alarm? * Required
    If Yes, please provide contact information
Close window