Emergency Notification for Businesses

The Emergency Notification for Businesses Form helps support communication to businesses and property owners when an emergency occurs to your property after normal business hours and all other times when your business is closed.

In the event of a false alarm, suspicious activity, or otherwise, having a person we can contact helps us to serve you better.

If you are the owner, manager or supervisor of a business within the Champaign city limits, please complete and submit the emergency notification form below. If you have multiple locations with the same contact person, please list each property address. This information will be used for law enforcement and fire department purposes only.

To maintain accuracy of our records, this form should be completed annually, or whenever there is a change of emergency contact.

Emergency Notification for Businesses Form

Business Name*
Other Names for this Business
Business Address*
Street Address Address Line 2 City State ZIP Code
Business Phone Number*
Mailing Address (if different from business address)
Street Address Address Line 2 City State ZIP Code
Alarm Company Name
Alarm Company's Phone Number
Emergency Contact Information
Please provide three names and phone numbers for people in the order that they are to be contacted. These people MUST have keys to the business and preferably live in town. Provide information for three individuals living in three separate households.
Name of First Contact*
First Last
Mobile Phone Number*
Email Address*
Name of Second Contact*
First Last
Mobile Phone Number*
Email Address*
Name of Third Contact*
First Last
Mobile Phone Number*
Email Address*
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Emergency Notification for Businesses

Emergency Notification for Businesses Form

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