Business Emergency Contact

Are you a Glencoe business owner or manager? Fill out this form to ensure that the Public Safety Department has current contact numbers for your business in case of an emergency situation.  

Today's Date:
Business Name:
Business Address:
Business Phone:
Preferred Fire Inspection Month:
Preferred Fire Inspection Day/Time:  Monday      Tuesday     Wednesday     Thursday     Friday           
Preferred Day Fire Inspection Time:  Morning     Afternoon      Evening
Alarms on Premises:  Security Alarm           Fire Alarm         Knox Box
Alarm Company Name:

Business Owner/Manager Name:
Owner/Manager Phone:
Owner/Manager E-mail:
Key Holder #1 Name:
Key Holder #1 Phone:
Key Holder #1 E-mail:
Key Holder # 2 Name:
Key Holder # 2 Phone:
Key Holder # 2 E-mail: