Deer Park, IL · Lake County

No notary required

Keyholder and/or Emergency Contact Information

Residents and businesses use this form to give the Lake County Sheriff's Office keyholder and emergency contact details for after-hours problems.

What this form is

When no alarm exists at a residence or business, this form provides keyholder and emergency contact information for after-hours problems or when the homeowner is absent. It asks for the property and contact details, helpful information for police, fire or rescue, and up to three emergency contacts in the order they should be called; the signer also agrees to follow applicable provisions of the Lake County Alarm Ordinance.

Who needs it

A resident or business without an alarm can use this form to provide keyholder and emergency contact information for after-hours problems.

How to submit it

Mail it to the Lake County Sheriff's Office, 1303 N Milwaukee Ave, Libertyville, IL 60048, Attn: Emergency Communications, or fax it to (847) 360-5796.

About notarization

This form is signed and dated without a notary; it lists no sworn attachment or notarized step.

How to submit this form

  1. 1

    Download The Form

    Download the Keyholder and/or Emergency Contact Information form.

  2. 2

    Complete The Form

    Enter the residence or business details and contact information, then list emergency contacts in the order they should be called.

  3. 3

    Gather Attachments

    The form does not specify any attachments.

  4. 4

    Submit The Form

    Mail it to the Lake County Sheriff's Office in Libertyville, Attn: Emergency Communications, or fax it to (847) 360-5796.

Frequently asked questions

Who should complete the keyholder and emergency contact form?
Residents and businesses without an alarm can provide keyholder and emergency contact information for after-hours problems or when the homeowner is absent.
What information does the form request?
It asks for residence or business details, contact numbers, information that may help police, fire or rescue, and emergency contacts listed in call order.
Do I need a notary for the Keyholder and/or Emergency Contact Information form?
No. The form calls for a signature and date, and lists no sworn attachment or notarized step.
How do I submit the Keyholder and/or Emergency Contact Information form?
Mail it to the Lake County Sheriff's Office, 1303 N Milwaukee Ave, Libertyville, IL 60048, Attn: Emergency Communications, or fax it to (847) 360-5796.

Need something notarized?

This Keyholder and/or Emergency Contact Information doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.