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130 N. Ft. Thomas Ave.
Ft. Thomas, KY 41075

 

Business Emergency Contact Information Form

Business in the City of Fort Thomas,

     In recent years the police department has kept up to date records to assist our officers to locate owners or the designated business contacts when emergencies arise. Emergencies can occur at the most inopportune time.
     We are now in the process of maintaining and updating our database. With your continued assistance we will be able to maintain this high level of service. All information will be kept confidential and will only be used in trying to make contact with the business. Please fill out the below listed form and submit. Thank you for your continued support.

(No information provided by you will be released to anyone in the public.)

Date of Submission:
Business Name:
Business Address:
Suite #: Business Telephone:
Owner: Owner Telephone:
Owner Home Address:
Normal Business Hours:

List 3 persons in order of contact importance in the event of an emergency:

Name & Title:

Address:

Telephone:
1.)

2.)

3.)

         
Alarm:  Yes No Type:  Burglar

Hold up
Fire
   

 Alarm is:

Silent

Audible
   
         

Alarm Company:

 Telephone:

         
After Hour Lighting: Be as specific as need be
         
Miscellaneous Information:
Your Email Address: