FOR BUSINESSES WITH A PHYSICAL OFFICE OR STORE FRONT LOCATION IN
NORTHPORT:
IN ORDER TO ALLOW THE POLICE DEPARTMENT TO KNOW WHO TO
CONTACT DURING AN AFTER HOURS EMERGENCY, OR AT OTHER TIMES WHEN THE
BUSINESS IS NOT OPEN, PLEASE FILL OUT THE FOLLOWING FORM AS COMPLETELY
AS POSSIBLE. THERE IS A SPACE FOR THE OWNER AND ALSO FOR UP TO THREE
PEOPLE TO BE CALLED IN AN EMERGENCY. PLEASE LIST NAMES IN THE ORDER
YOU WOULD WANT THE PEOPLE CONTACTED, SHOULD IT BE NECESSARY. THIS
INFORMATION IS NOT GIVEN OUT TO THE PUBLIC AND REMAINS WITHIN THE
POLICE DEPARTMENT FOR OFFICIAL USE ONLY. IF YOU HAVE ANY QUESTIONS,
YOU MAY CONTACT THE COMMUNICATIONS OFFICE AT (205) 339-6600.
THANK YOU FOR YOUR ASSISTANCE,
NORTHPORT POLICE DEPARTMENT
FAX (205) 333-3007
BUSINESS NAME __________________________________________ PHONE ________________________
ADDRESS _________________________________________________ ALARM # ______________________
WHERE LOCATED _________________________________________________________________________
_______________________________________________________________________________________________
BUSINESS OWNER CONTACTS
NAME
HOME PHONE
ALT. PHONE
OWNER
___________________________________________________________________________________
1
___________________________________________________________________________________
2
___________________________________________________________________________________
3
___________________________________________________________________________________
PROPERTY OWNER CONTACTS
NAME
HOME PHONE
ALT. PHONE
OWNER
___________________________________________________________________________________
1
___________________________________________________________________________________
2
___________________________________________________________________________________
3
___________________________________________________________________________________
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