RESIDENTIAL EMERGENCY CONTACT INFO/ KEY VAULT

In an effort to better serve the residential community of Green Tree Borough, the Green Tree Police Department is providing a program for homeowners to provide emergency contact information to the Police Department, so that in the event of an emergency and emergency personnel need to gain access to your locked home, a key holder can be quickly located. There are two ways to participate in this program:

1. Submit names, addresses and phone numbers of persons who have a key to your home (family, friends or neighbors) that emergency personnel could contact if you are unavailable during an emergency at your home, or,
2. Provide the Green Tree Police Department with a key to your home that would be stored safely in the key vault at the police station and could be used in the event of an emergency to unlock your home if necessary.

Information you provide will be kept confidential and will not be released or used for any other reason than its intended purpose.

You may complete the information below to be added to our emergency listing. If you wish to supply the Police Department with a key to your home to be kept in the Key Vault, please stop by the Green Tree Police Department, 10 West Manlila Avenue, Monday-Friday, 7:00 a.m. to 3:00 p.m. For more information, call 412-921-8624.

Please fill out ALL of the information below for your information to be entered into the Green Tree Police Department's Emergency Database.

Your Full Name:

Home Street Address:

City:

State:

Zipcode:

Telephone Number (including area code):

Other Phone Numbers to Contact You (cell, work, etc.):

Emergency Contact Persons who have access to your home (please provide their full names and phone numbers)

Any Other Pertinent Information You Think We Should Know: