Business Emergency Contact Form

Police Department

February 21 2017
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The purpose of this form is to help the police department protect your property. This form is confidential and will be kept in our police dispatch in case of an emergency, which requires us to notify you or a representative.
  • Mon - Fri: Sat: Sun:
  • 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.
  • Security/Utility Information

    If Yes, please provide contact information
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