Heath, OH · Licking County

No notary required

Emergency Notification Sign Up

Heath residents use this form to sign up for emergency notifications and choose which phone numbers and contact methods can receive messages.

What this form is

This form lets Heath residents provide contact information for emergency notifications and other city notices, including road closures and water issues. It asks for a name, address, phone numbers, message delivery preferences, optional email addresses, and a signature and date; the form does not state when sign-up is required.

Who needs it

Heath residents who want to receive emergency messages or optional city notices by phone or email can complete this sign-up form.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This form is signed and dated without a notary; it lists no notarized or sworn attachment, so the signer just signs and dates it.

How to submit this form

  1. 1

    Download The Form

    Download the Emergency Notification Sign Up PDF.

  2. 2

    Complete Your Details

    Print clearly and enter your name, address, phone numbers, delivery preferences, and any optional email addresses.

  3. 3

    Sign And Date

    Sign and date the form.

  4. 4

    Submit To The City

    Submit the form to the city department named on it; check the city website for current contact details.

Frequently asked questions

What information does the Emergency Notification Sign Up ask for?
It asks for your name, address, phone numbers, preferred voice or text messages, optional email addresses, and your signature and date.
Can I add phone numbers for other people?
Yes. The form says you may provide additional contact numbers, such as family members or employment, and includes spaces for up to three additional phone numbers.
Do I need a notary for the Emergency Notification Sign Up?
No. The form has a signature and date line but no notary block or notarized attachment; the signer just signs and dates it.
How do I submit the Emergency Notification Sign Up?
The form does not provide submission instructions. Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Emergency Notification Sign Up doesn’t need a notary — but if you have another Heath form that does, a commissioned online notary can help.