The following information is requested by the Green Tree Police Department in the event that an emergency would occur at your business. This information is confidential and it is the only way the police are able to make notifications during an emergency. It will not be released or used for any other reason than its intended purpose.

If you change emergency contacts for your business please notify the police department so we can better serve you. Fill in the information requested below and e-mail it to us or click here to download a hard copy of this form to be mailed or faxed.

Business Name:

Business Address:

City:

State:

Zipcode:

Business' Telephone Number (including area code):

Emergency Contact 1 (include person's name and phone number)

Emergency Contact 2 (include person's name and phone number)

Emergency Contact 3 (include person's name and phone number)