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San Leandro, CA

Emergency Contact Information

In an effort to better serve the business community, the San Leandro Police Department request that you complete and return the enclosed Emergency Information Form and provide emergency contact information for your business.

This information will be retained and used by the San Leandro Police when an Officer requests the Dispatcher to contact a representative from your business in the event of an emergency during non-business hours. This person should have keys to the business and the ability to operate the alarm system.

Please provide all the information requested and list at least three individuals that we can contact in the event one is not available. Your continued cooperation in keeping our files current is important.

Emergency Contact Information

Steps

1. Step One This section is complete This section is incomplete
2. Emergency Contact Information This section is complete This section is incomplete
3. Alarm Company This section is complete This section is incomplete

Step One

Business Name*
Business Address*
Address Line 2
City*
State*
Zip Code*
Business Phone*
Business Email*
Business Hours*
Continue

Emergency Contact Information

Contact 1 Name*
Contact 1 Home Phone
Contact 1 Cell Phone
Contact 2 Name
Contact 2 Home Phone
Contact 2 Cell Phone
Contact 3 Name
Contact 3 Home Phone
Contact 3 Cell Phone
Continue |Go Back

Alarm Company

Alarm Company
Phone

Leave This Blank:

1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
Submit | Go Back