Tenant Information And Emergency Contact Form
Download a blank fillable Tenant Information And Emergency Contact Form in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Tenant Information And Emergency Contact Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1Providence Health & Services – Property Management
TENANT INFORMATION AND EMERGENCY CONTACT FORM
FULL COMPANY NAME: ________________________________________________________________________
SUITE NUMBER: ___________ BUILDING ADDRESS: ______________________________________________
Select Building
TELEPHONE NO.: __________________ FAX NO.: ____________________ NO. EMPLOYEES: _____________
:
PLEASE TELL US WHO TO CONTACT IN YOUR OFFICE
Primary (Daily Operations): __________________________________________
Phone:
__________________
Email Address:_________________________________________________
Cell:
__________________
Suite Safety Officer __________________________________________________
Phone:
__________________
Email Address:__________________________________________________
Cell:
__________________
Accounting (Rent/Payables): ___________________________________________
Phone:
__________________
Email Address:______________________________________________________________________________
Lease/Legal Issues: __________________________________________________
Phone:
__________________
Email Address:______________________________________________________________________________
Telecom./Electrical: __________________________________________________
Phone:
__________________
Maintenance/Cleaning: _______________________________________________ Phone:
__________________
Security Access: ____________________________________________________
Phone:
__________________
President/Owner w/ Title: _____________________________________________
Phone:
__________________
Do you have a UPS System (uninterruptable power supply)? Y/N
If so, what system(s) does it support?
_______________________________________________________________________________________________
AFTER-HOURS EMERGENCY CONTACT INFORMATION:
(In order of first point of contact):
Name:
____________________________________________________
Home Phone: __________________
Name:
____________________________________________________
Home Phone: __________________
Name:
____________________________________________________
Home Phone: __________________
Private Burglar Alarm Company, if applicable and contact information. Please coordinate access for Janitorial Service
with
the Property Manager: _______________________________________________________________________
GENERAL INFORMATION:
1.
Brief description of business: __________________________________________________________________
2.
Hours of operation: __________________________________________________________________________
3.
Approximately how many daily visitors do you have? ________________________________________________
When do your employees work other than during normal hours of operation?
4.
____________________________
___________________________________________________________________________________________
5.
On what holidays do you close your business? _____________________________________________________
___________________________________________________________________________________________
Do you store any flammable or toxic chemicals on-site: If so, what are they, and where are they stored?
6.
No
_______
___________________________________________________________________________________________
___________________________________________________________________________________________
Submitted by: Signature: _______________________________________________ __
Date: _________________
Mail completed form to: 4400 NE Halsey, Bldg 2, Ste 190, Portland, OR 97213 or Fax completed form to: 503/893-6791
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business