Business Emergency Contact Form

This information is used to contact the owner and/or employees of a business after normal operating hours during an emergency situation (fire, burglary, etc.)  The contact information will not be used for any other purpose.  Please submit this form for a new business or to update a previous listing.  Feel free to provide more than one phone number.

Business Information:

Business Name
Street Address
Business Phone

EMERGENCY CONTACTS (People that the police department can call after normal business hours)

Emergency Contact #1

First Name
Last Name
Phone

Emergency Contact #2

First Name
Last Name
Phone

Emergency Contact #3

First Name
Last Name
Phone

Alarm Company Name & Number (if applicable)


Copyright © 2006 Malden Police Department. All rights reserved.
Revised: 02/12/07