City Of Dayton Police & Fire Department Local Business Emergency Contact Form printable pdf download

City Of Dayton Police & Fire Department Local Business Emergency Contact Form

City of Dayton Police & Fire Department

P.O. Box 226

Dayton, TN 37321

Police Phone: 423‐775‐8403

Fire Phone: 423‐775‐8402

LOCAL BUSINESS EMERGENCY CONTACT FORM

Situations such as open doors or windows, vandalism, burglaries, and alarms often occur and are discovered

after usual business hours. In these instances the City of Dayton Police Department would need the business

owner or an employee to respond to assist with securing the building and contributing necessary information

for report purposes. Situations such as odor, smoke, or smoke/sprinkler alarms where a business may be

jeopardized, the City of Dayton Fire Department would need to reach someone from the Business Emergency

Contact Form for the business to obtain essential information. The purpose for providing this information to

the City of Dayton Police and Fire Department is to assist our public safety agencies in locating business

owners or responsible employees when and if a problem arises.

Please complete and return to the above address.

Business Name:_____________________________________________________________________

Business Location Address:____________________________________________________________

Business Mailing Address:_____________________________________________________________

Business Phone:____________________________________________

Business Type: ____Retail ____ Service ____Manufacturing ________Other (If other, please explain)

__________________________________

Hours of Operation:_________________________________________

Owner(s) Name(s)___________________________________ Phone:_________________________

___________________________________ Phone:________________________

____________________________________Phone:________________________

____________________________________ Phone:_________________________

Do you own the building?: __Yes __ No If you answer no, please list the building owner below.

Building Owner:_____________________________ Phone:____________________________

Address:___________________________________ Alternate Phone:____________________

In an emergency, contact persons in this order:

City Of Dayton Police & Fire Department Local Business Emergency Contact Form