Business Contact Form

Print
Press Enter to show all options, press Tab go to next option

It is important for the Public Safety 911 Communications Center and the Marion Police Department to have up-to-date contact information for local businesses in case of an emergency. Such incidents could include fire, break-ins, trespassing, or medical problems.

Alternative contact persons should have permission to act on your behalf. It is preferred that they have keys to the business. The order contacts are listed are the order in which contacts will be notified.

Please correct the field(s) marked in red below:

1
Business Information:
 *
Business Information:
2
Business Owner Contact Info:
 *
Business Owner Contact Info:
3
Primary Contact Person:
 *
Primary Contact Person:
4
Alternative Contact Person:
 *
Alternative Contact Person:
5

2nd Alternative Contact Person:

 *
2nd Alternative Contact Person:
6
Please provide any other helpful information for police in the event of an incident:
  1. To receive a copy of your submission, please fill out your email address below and submit.