Dublin Borough Police Department 119 Maple Avenue Dublin, Pennsylvania 18917 Voice: 215-249-0272 Fax: 215-249-0857 www.DublinBorough.org Brian C. Lehman Chief of Police

Business Emergency Contact Information The following information is requested by the Dublin Borough Police Department in the event that an emergency would occur at your business. This information is confidential, and is the only way the police are able to make notifications during an emergency. It will not be released, or used for any other reason than its intended purpose. If you change emergency contacts for your business please notify the police department so we can better serve you.

Business Name: ______________________________ Telephone No._____________ Street address, including any P.O. Box number of your business:

__________________________________________________________________ Owners name: __________________________ Contact number: ________________ Normal operating hours? _______________________________________________ Does your business have an alarm system: Yes___ No___ What type: (check all that apply) Burglary __

Is it an audible: Yes ___ No___

Panic __

Smoke __

Fire __

Alarm Co. Name: _______________________________ Telephone No.__________________ Does your business have video surveillance? Yes ___

No ___

Please provide a list of persons to be contacted in the event of an alarm or emergency. List them in the order that you would like them contacted. NAME

Telephone number(s)

1) ___________________________ _________________________________ 2) ___________________________ _________________________________ 3) ___________________________ _________________________________

Business Emerg Contact Form-fillable 2015.pdf

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