Business Contact Sheet

Business Owners,

The Imperial Police Department maintains a list of telephone numbers of Imperial businesses for the purpose of contacting a representative in the event a problem occurs after normal business hours. This list is strictly confidential, and your participation is voluntary, however this is a great benefit to both the business owner and the Imperial Police Department during an emergency. Please take a moment to fill out this form, or download this Business Contact Sheet and return via mail, fax, in person at the Imperial Police Office, or via email to police@imperial-ne.com.

Thank you in advance,

Chad Ostmeyer, Chief of Police #472

Business Name

Business Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Business Phone

(###)

###

####

Business Fax

(###)

###

####

Business Owner Cell Phone

(###)

###

####

Business Owner Email

Hours of Operation

Do you have an Alarm System?

Do you have a Security Camera System?

Any other information we may find helpful in checking and determining if there is an issue at your business location:

Emergency Contact People

Emergency Contact #1

First Name

Last Name

Phone

(###)

###

####

Key Holder?

Emergency Contact #2

Phone

(###)

###

####

Key Holder?

Emergency Contact #3

Phone

(###)

###

####

Key Holder?

Business Contact Sheet

City of Imperial