Business Emergency Contact Information Update
Business Emergency Contact Information Update
Business Emergency Contact Information Update Instructions This information will only be used in the event of an after-hours emergency or incident at your business. Information will not be shared outside of law enforcement agencies and the fire department. All information is optional. In the event of an incident, emergency responders may request that an authorized person respond to the business to reset a ringing alarm, provide helpful information, represent an owner's interests, or secure the property after a fire or break-in. It would be necessary for that person to respond with keys to the property, and a proper alarm code if applicable. Please provide the information requested below, providing as many details as possible. Contact information will be kept strictly confidential and only used for notification purposes by law enforcement and/or the fire department. If you have questions about how information will be stored and used, contact our dispatch center at (402)375-2626. Business Emergency Contacts Update Form Business Information: If your business name is indicated by any signage on the exterior of the building, list that business name. If the main phone number is answered with a recording or automated attendant, indicate an inside phone number by which an employee can be reached immediately, if one is available. A separate form should be filled out for each business location or physical address. Required Fields: - Business Name - Street Address - City - Zip - Business Phone Number - Business Email After Hours Contact(s): In the event of an emergency, the dispatch center will begin with the first emergency contact and proceed down the list until a responsible party is notified. List contacts in your preferred notification order preference. Information will only be used in the event of an emergency. List as many contact persons as you wish. Required Fields: - Primary Contact - Title - Phone Number - Alternate Contact options available Additional Business Details: - Hazards on Site (hazardous materials, animals on site, etc.) - Is your business equipped with an alarm system? (Yes/No) - Automatic External Defibrillator (AED) on the Premise? (Yes/No) - Alarm Company Name - Alarm Company Phone Number - Hours of Operation - Special Instructions for Police/Emergency Services (including finding your business or accessing the property) - Name of Person Completing Form - Date Completed