Thursday 21st August 2014,
Fairview Township Police Department

Business Contact Form

Do you own or manage an area business?  Does the Fairview Township Police Department have your company’s vital business information on file?  If the answer is no or you are not sure, please complete and submit this form.  Information will be retained within the police department and shared with York County’s 911 Information Center should the data be needed in the event of an emergency.

All fields in bold text must be completed.


Name of Business

Business Street Address

Primary Phone Number

Fax number

Type of Business
?
What type of business is at this location?

Name of primary contact
?
Please include a first and last name

Primary contact phone number

Address of Primary Contact
?
You must include the street address, city and zip code

Secondary Emergency Contact Name
?
If there is another person who can be contacted if you’re unavailable.

Secondary Contact Address

Secondary Contact Phone Number

Is this building alarmed? ?
Does this building have a security alarm system?

Type of Alarm (Fire/Smoke/Panic/Burglar/Other)

Name of Alarm or Security Company
?
Please provide the name of the alarm company. If this business doesn’t have an alarm company, please list “NONE”.

Alarm Company Phone Number
?
The phone number for the alarm company is required. If this business doens’t have an alarm company, please list “NONE”.

Hours of Operation
?
Please list the hours this business is open

List any hazardous and/or dangerous materials contained on this property

Additonal information


Prove you are a human.
Prove you are a human.