Business Emergency Contacts

This form should be used to update or submit business and apartment complex contact information.
The information you submit will be e-mailed to the Lakewood Police Department. After police review the information, they will call to verify.

Please note:
- This form takes only a few minutes to complete, but you will have up to 90 minutes, once you begin, to fill it out and click "Submit."
- Required fields are indicated with *

BUSINESS/APARTMENT INFORMATION

Your Name and Position: 

Business/Apartment Complex Name: 

Address: 

Suite/Unit Number: 

Phone Number: 

E-mail address:

Is this business a home based business run from a residence?


ALARM/SECURITY INFORMATION

If the business/apartment complex has any alarms or a private security company, please fill out the following information.

Alarm Company Name: 

Phone Number: 

Private Security Company Name: 

Phone Number: 

Is there a dog(s) on the premises?
Are there onsite cameras?
Is there motion-sensitive lighting?

Location of motion-sensitive lighting: 

Type of alarm, please check all the apply.
Please describe where the alarm is located.
Please list any other alarm types or any additional information about your alarm(s).
 

KEY HOLDERS

List all responsible partis who hold keys.  Please list key holders in the order they should be called.

Name and Position: 

Phone Number: 

Pager Number: 

 

Name and Position: 

Phone Number: 

Pager Number: 

 

Name and Position: 

Phone Number: 

Pager Number: 

 

Name and Position: 

Phone Number: 

Pager Number: 

 

Name and Position: 

Phone Number: 

Pager Number: 

 

APARTMENT COMPLEX INFORMATION

If you are entering information for an apartment complex please provide the onsite manager's and/or the maintenance person's contact information.

Name: 

Title: 

Address: 

Phone Number: 

 

Name: 

Title: 

Address: 

Phone Number: 

 

Name: 

Title: 

Address: 

Phone Number: 

 

Name: 

Title: 

Address: 

Phone Number: 

 

Name: 

Title: 

Address: 

Phone Number: 

 

ADDITIONAL INFORMATION

Please enter any special instructions you feel necessary to inform us of, or other information such as gate and door codes.