Cloverdale, CA · Sonoma County

No notary required

Business Information for Emergency Contact

Businesses complete this form to give the Cloverdale Police Department emergency contacts and information about access, alarms, and other security details.

What this form is

This form gives the Cloverdale Police Department information to use if officers respond to a business emergency. Business owners or managers provide business and contact details, names and phone numbers for people who can respond, and information about alarms, gates, guards, and dogs. The form asks for the completing person’s signature and date.

Who needs it

A business owner or manager who wants to provide the Cloverdale Police Department with emergency response and contact information should complete this form.

How to submit it

Complete and return the form to the Cloverdale Police Department, 112 Broad Street, Cloverdale, CA 95425. The form also lists fax number (707) 894-5203.

About notarization

This document is signed without a notary; the signer just signs and dates the form.

How to submit this form

  1. 1

    Download The Form

    Download the Business Information for Emergency Contact form.

  2. 2

    Complete The Business Details

    Fill in business and manager contact details, emergency responders, and the requested property security information.

  3. 3

    Sign And Date

    Sign and date the form.

  4. 4

    Return It To The Police Department

    Return the form to the Cloverdale Police Department by mail or fax using the contact details on the form.

Frequently asked questions

Who should complete the Business Information for Emergency Contact form?
A business owner or manager can complete it with business details, emergency contacts, and information about alarms, gates, guards, and dogs at the property.
How do I submit the Business Information for Emergency Contact form?
Return it to the Cloverdale Police Department at 112 Broad Street, Cloverdale, CA 95425, or fax it to (707) 894-5203.
Do I need a notary for the Business Information for Emergency Contact form?
No. This form is signed and dated without a notary; it does not identify a notarized attachment or related step.

Need something notarized?

This Business Information for Emergency Contact doesn’t need a notary — but if you have another Cloverdale form that does, a commissioned online notary can help.