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City of Colorado Springs
Police and Fire Departments
Emergency Notification Information
Please complete the following form to send your Emergency Notification Information via email. All fields marked in blue and italics are required for submitting information. (In addition, for Business Information, fields marked in orange and italics are required and for Complex Information, fields marked in green and italics are required.)
The submitting information is: New    Update     For a: Business    Complex
Full Submitting Name:
(First, Middle, Last)
   Date:
Email Address:

Business Information
Business Name:
Address:
(Street, City, State, Zip)
Suite/Unit/Apt/Lot#:
Main Telephone:
Gate/Door Codes:
Knox Box Locations:
Location and description of any on-site hazardous materials:

Complex Information
Complex Name:
Address:
(Street, City, State, Zip)
Suite/Unit/Apt/Lot#:
Main Telephone:
Gate/Door Codes:
Knox Box Locations:
Location and description of any on-site hazardous materials:

Please provide the following contact information to have a responsible person respond after hours to the site. List the appropriate contacts in the order they are to be called. If this is an apartment or town home, please list an ON-SITE manager or maintenance person with MASTER keys.
1st Contact Information
Name:    Title:
Home Address:
Home Phone:   Cell or Pager:


2nd Contact Information
Name:    Title:
Home Address:
Home Phone:   Cell or Pager:


3rd Contact Information
Name:    Title:
Home Address:
Home Phone:   Cell or Pager:


Necessary changes to this information may be made by calling the Colorado Springs Police Department Communication Center
(719) 444-7000 or by mailing the information to the Colorado Springs Police Department Communications Center, 705 S Nevada Avenue. Colorado Springs, CO 80903


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