HomeMy Public PortalAboutPublic Safety and Commercial QuestionnaireWATERTOWN PUBLIC SAFETY & COMMERCIAL QUESTIONNAIRE
Name: Address: Tel #:
Alarm Company: Tel #:
In an emergency it may be necessary to contact the property owner or a representative of the business. Please
contact the Police Department at (617) 972-6500 if the contact information supplied on this form changes.
1st Contact name:
Address:
Home Telephone #:
Pager #
Cell phone #
2nd Contact name:
Address:
Home Telephone #:
Pager #
Cell phone #
3rd Contact name:
Address:
Home Telephone #:
Pager #
Cell phone #
4th Contact name:
Address:
Home Telephone #:
Pager #
Cell phone #
Property Owner name:
Address:
Home Telephone #:
Pager #
Cell phone #
** If you store flammable, chemicals or hazardous materials in quantities that should be considered dangerous in an
emergency situation such as a fire, please supply the following information:
Name:
Location:
Amount: Liquid - solid - Gas ❑
Name:
Location:
Amount: Liquid - solid - Gas ❑
Name:
Location:
Amount: Liquid - solid - Gas ❑
Comments:
Watertown PD Form # 03-G-03 Web Form