Residential And Business Emergency Notification/Address Change

Dear property owner,

Please take this time to fill out the following emergency contact/alarm information data form in order for us to update our files.

By updating this information we can ensure that we are able to contact you in case of an emergency involving your family or property!

Apartments - Unfortunately, we do not retain data on individual apartments unless there is an officer safety or medical issue at that location. Because of the shear number of apartments in Billerica and their high occupancy turn over we find that is it nearly impossible to keep this data current. Thank you for your understanding.

Note: Your submission will be sent securely and you will be briefly redirected to a HTTPS secured site. The IP address of your computer will be logged. Your information is sent directly to the Billerica Police Dept. If you would prefer to call the police station to pass on this information you may call (978) 671-0900 x172.

Proprietor:
Address:
Telephone:
Email:
Emergency Contact(s) Or Keyholder(s)
Contact One
Name:
Address:
Telephone:
Contact Two
Name:
Address:
Telephone:
Contact Three
Name:
Address:
Telephone:
*If Property Is Alarmed
Alarm Company:
Telephone:
Type of Alarm: