2. In the event of a burglary or other emergency involving your business, it may be necessary for the Fairfield Police Department to contact you so that you may respond and secure your business. Business owners may use this online form to supply a list of personnel that the police department may contact. If the need arises, they will be called in the order listed.
   
   Enter up to three people that the police department may contact after normal business hours. Any person listed should be able to respond in a timely manner and have key and alarm code access to the building.
6. General Business Information
8. Business Name*
10. Business Address*
12. City*
13. State*
14. Zip Code*
16. Business Phone*
17. Business Fax
18. Business Email
20. Emergency Contact(s)
22. Contact 1 Name*
23. Contact 1 Phone*
24. Contact 1 Role
    -- Select One --OwnerManagerEmployee
26. Contact 2 Name
27. Contact 2 Phone
28. Contact 2 Role
    -- Select One --OwnerManagerEmployee
30. Contact 3 Name
31. Contact 3 Phone
32. Contact 3 Role
    -- Select One --OwnerManagerEmployee
34. Alarm System Information
36. Alarm System

    1. Yes
    2. No
37. Type(s) of Alarm

    1. Fire
    2. Burglar
    3. Hold-Up
    4. Other
38. Other - Desription

    If you chose "Other" type, please specify.

40. Alarm Code
41. Alarm Company Name & Phone Number
43. Does your business have security cameras?

    1. Yes
    2. No
44. CommunityWatch Fairfield
    Learn more and register here.

    Since you have security cameras, please consider signing up for our new CommunityWatch camera registry program.

46. Additional Comments
Leave This Blank:


48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit

* indicates a required field