Business/Apartment Building Contact Information Form

Having current contact information can be vital to the police department in times of emergency or if a business/apartment building has sustained damage due to criminal activity or severe weather.

The Lakewood Police Department is requesting that you complete this contact form to provide current contact information for your business. Owners/managers of apartment buildings are also requested to complete this form, as the information provided can assist officers in gaining entry to your building quickly in an emergency.

If you have an entry code for your building that officers can use, please include that in the "Notes" field at the bottom of the form.
Business/Apartment Building Name*
Address
Street Address
Phone
Fax
Email
Business/Apartment Building Owner Name
Business/Apartment Building Owner Address
Street Address City State / Province / Region ZIP / Postal Code
Business/Apartment Building Owner Home Phone
Business/Apartment Building Owner Cell Phone
Business/Apartment Building Owner Email
Manager Name
Manager Address
Street Address City State / Province / Region ZIP / Postal Code
Manager Home Phone
Manager Cell Phone
Manager Email
Additional Contact #1
Address
Street Address City State / Province / Region ZIP / Postal Code
Home Phone
Cell Phone
Email
Additional Contact #2
Address
Street Address City State / Province / Region ZIP / Postal Code
Home Phone
Cell Phone
Email
Safe on site
- Yes
- No
Safe Info
location, serial number, brand
Alarm Company
Notes
Name
This field is for validation purposes and should be left unchanged.

Business/Apartment Building Contact Information Form

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