Emergency Contact Information Program

The purpose of this program is to offer our business community and residents the chance to provide crucial information to Police and Fire personnel prior to an emergency. The information you provide will be added to the computer aided dispatch system and will be accessible to first responders in the event they are dispatched to your home for a call for service. The information you provide is voluntary and confidential and will only be accessible to Police and Fire personnel in the course of their duty.

Business Community

Private Residence

Business Community (Businesses, Faith Establishments, Non-Profits)

Business Name

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone (Business Hours)

Phone (After Hours Emergency Contact)

Are there any hazardous materials on site or other hazards for responding personnel? If so, list the hazards.

Do you want information about Community Engagement Events, Public Safety Trainings or other information from the Auburn Hills Police Department?

Yes

Private Residence (Home, Apartment, Mobile Home, Town Home, Condominium)

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Are there any animals or other hazards on the property that pose a risk to first responders?

Are there any persons in your home with medical conditions, special needs, developmental disabilities, or mental health concerns that responders need to be aware of? If so, please provide pertinent information.

Do you want information about Community Engagement Events, Public Safety Trainings or other information from the Auburn Hills Police Department?

Yes