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Amherst Police Department |

Business Callout Update
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In an effort to provide continuing, improved service to the citizens of Amherst, the Police Department is distributing this form to all businesses in order to have updated call-out information in the event there is a problem at your business after hours.
Please fill out the form and submit the information through our web site, or you can print a hard copy and fax it to us at 440-988-3009. You can return it via US mail or drop it off at the police station, 24 hours a day. If you have any questions, please feel free to contact the dispatch center (988-2625) at any time.
Should there be a change in your key holder information, please let us know as soon as possible.
| Business Name | |
| Address | |
| City/State | |
| Phone | |
| E-mail address |
Does your business have an alarm? Yes No
Type of Alarm
(fire, burglary, audible)
Name of alarm company...................
Phone number of alarm company ........
Key holder information: Please list, in the order you would like them to be called, at least 2 or 3 people who have keys to the business and can respond in the event of a burglary, unsecured door, or other emergency situation, after hours:
First Call
| Name & Title | |
| Address | |
| City/State | |
| Phone | |
| Cell or Pager |
Second Call
| Name & Title | |
| Address | |
| City/State | |
| Phone | |
| Cell or Pager |
Third Call
| Name & Title | |
| Address | |
| City/State | |
| Phone | |
| Cell or Pager |
Enter any other information you may need us to know about you or your business, or the people you listed above
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