Lodi, CA · San Joaquin County
Emergency Contact Information
Businesses may use this form to provide the Lodi Fire and Police Departments with contact details for emergency notifications at their place of business.
What this form is
This form lets a business share contact and property information with the Lodi Fire and Police Departments for notification during an emergency response. The document says providing the information is not required, but is requested, and asks for business, owner or manager, contact, address, email, and building-status details. A responsible party certifies the information and signs and dates the form.
Who needs it
A business owner or responsible party who wants city departments to have current contact information for emergencies at the business may submit it.
How to submit it
Return the completed form to the Lodi Fire Prevention Bureau, 210 West Elm St., Lodi, CA 95240, or email it to [email protected].
About notarization
This document is signed and dated without a notary; it mentions no notarized or sworn attachment, so the responsible party just signs and dates it.
How to submit this form
- 1
Download The Form
Download the Emergency Contact Information form for Lodi businesses.
- 2
Complete The Business Details
Fill in business and property information, addresses, contact details, email, and building status.
- 3
Sign And Date
Have the responsible party certify the information, then sign and date the form.
- 4
Return The Form
Send it to the Lodi Fire Prevention Bureau by mail at the listed address or email it to [email protected].
Frequently asked questions
- What is the Lodi Emergency Contact Information form for?
- It lets a business provide contact and property details to the Lodi Fire and Police Departments for notification during an emergency response at the business.
- Is submitting the Emergency Contact Information form required?
- No. The form says providing the information is not required, but is requested to help the city contact the business during an emergency response.
- Do I need a notary for the Emergency Contact Information form?
- No. The responsible party signs and dates this form; it mentions no notarized or sworn attachment. A commissioned online notary may help with other documents you have.
- How do I submit the Emergency Contact Information form?
- Return it to the Lodi Fire Prevention Bureau at 210 West Elm St., Lodi, CA 95240, or email it to [email protected].
Need something notarized?
This Emergency Contact Information doesn’t need a notary — but if you have another Lodi form that does, a commissioned online notary can help.