Milton Police Department Business Emergency Contact Form printable pdf download

Milton Police Department Business Emergency Contact Form

MILTON POLICE DEPARTMENT

BUSINESS EMERGENCY

CONTACT FORM

Business Name: ______________________________ Telephone #: ______________

Physical numerical street address including any PO Box number of your business:

________________________________________________________________________

Owners name: __________________________ Contact number: ________________

What are your normal operating hours? _____________________________________

________________________________________________________________________

Does your business have a safe?

Yes

Does your business have an alarm system?

Yes No

Is it an audible: Yes

What type: (circle all that conform)

Burglary

Panic Smoke

Fire

What is the Alarm Co. name: _____________________ Telephone # ___________

Does your business have video surveillance?

Yes

Please provide a list of contact telephone numbers for contact person(s) in the event

of an alarm. List them in the order that you would like them contacted.

NAME

Telephone number(s) or pager(s)

1) ___________________________

_________________________________

2) ___________________________

_________________________________

3) ___________________________

_________________________________

4) ___________________________

_________________________________

Signature: ______________________________________

Date: ____________

Note: Please use the reverse side of this form for any miscellaneous information that you feel we

did not cover or that you feel we need to know. The information contained on this form will not

be made public. It will remain on file at the police department.

Milton Police Department Business Emergency Contact Form