Business Emergency Contact Information Form

The Business Emergency Contact Information Form will be used to notify the owner or their designated contacts in the event that their property is involved in an event or an emergency. The Borough Office, Police and Emergency Management will be the only ones sharing this information.

Business Name: *

Type of Business: *

Business Address: *

Business Phone Number: *

Business Fax: *

E-mail Address: *

Owner Name: *

Owner Address: *

Owner Home Phone:

Owner Cell Phone: *

1 Contact Name: *

1 Contact Number: *

2 Contact Name: *

2 Contact Number: *

3 Contact Name: *

3 Contact Number: *

Does the Business have a Buglar Alarm: *

Is The Alarm Audilble: *

Does the Business have a Fire Alarm: *

Name of the Alarm Company: *

Alarm Company Pnone Number: *

Are Hazardous Materials kept on site: *

Hazardous Materials List:

Are Weapons kept on site: *

Is the Business occupied after hours: *

Are animals left on site after hours: *

Types of animals: *

Leave this field blank

Government

Departments

Find It Fast

Business Emergency Contact Information Form

Quick Links