CITY OF LEBANON, NEW HAMPSHIRE Police Department   BUSINESS CONTACT INFORMATION FORM  In order to better serve you, the Lebanon Public Safety Communications Division is requesting your assistance in filling out this short contact form for your business. This information will allow us to rapidly contact the proper representative of your business in the event of an AFTER HOURS emergency or if there is a problem found by an officer during a routine business check. Please return this form to the Lebanon Public Safety Communications Division – 36 Poverty Lane – Lebanon, NH 03766. The form can also be faxed to us at 448-3315. If you prefer, give us a call at 448-1212, advise the Communication Specialist who answers your call that you would like to participate in the Business Emergency Contact Program, and an officer will stop by and pick up your form. Thank you for your participation. Douglas Albanese, Supervisor Communications Division BUSINESS INFORMATION  Business Name: 

_________________________________________________________________ 

Street Address: 

___________________________________ Suite: ________________________ 

Business Phone: 

________________________  

Is there any type of alarm at your business?   Yes 

 

Business Fax: ________________________  No  

Please tell us what type (i.e.: Burglary Alarm, Fire Alarm, Panic Alarm, etc.):  ____________________________________________________________________________________ ____________________________________________________________________________________  AFTER HOUR CONTACTS   1st Contact: ____________________________________    After Hours Phone #: ___________________  2nd Contact: ____________________________________   After Hours Phone #: ___________________  3rd Contact: ____________________________________   After Hours Phone #: ___________________  4th Contact: ____________________________________    After Hours Phone #: ___________________ 

Business Emergency Contact Program Form.pdf

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