BUSINESS – EMERGENCY CONTACT ALARM INFORMATION

*****THE WARREN POLICE WISH TO SERVE EACH AND EVERY BUSINESS, AS WELL AS OUR RESIDENTS, TO THE BEST OF OUR ABILITY. IN ORDER TO DO THIS, WE NEED EMERGENCY CONTACT INFO. IN THE EVENT OF FIRE, BURGLARY, DAMAGE, ETC. AFTER HOURS. THIS INFO. IS KEPT STRICTLY CONFIDENTIAL FOR EMERGENCY USE!

PLEASE RETURN COMPLETED FORM WITHIN 10 DAYS

****IF THE  INFORMATION SHOULD CHANGE PLEASE CONTACT

SGT. RUSSELL E. KINGSLAND – (908)753-1141*

BUSINESS NAME:___________________________________________________PHONE #_______________________

If the above number is a voice mail/automated answering phone, please provide a direct number to a contact person at the business:

Direct #_______________________________

Business Address:_____________________________________________________Suite # _____________________

Nature of Business:______________________________

Does business deal with hazardous material:    Yes_______      No_______

If the above answer is yes, has the police department been supplied with Right to Know information?  

            Yes___________                       No____________

*EMERGENCY CONTACTS:

*Persons to  be contacted in  the event of an alarm activation. We will make contact  ONLY if something appears out of the ordinary or if there is a malfunction.

IF BUILDING IS ALARMED, PLEASE COMPLETE THE FOLLOWING

TYPE OF ALARM

(check appropriate boxes)

MAINTAINED BY: ____________________________________________________________PHONE________________

Does alarm reset itself?  Yes_______No_______
Length of time to reset?_________________

Does alarm shut off automatically?  Yes______No______
Length of time?_________________