Brookville, OH · Montgomery County

No notary required

Emergency Contact Form

Brookville businesses and property owners use this form to provide emergency contacts, building information, and fire inspection scheduling preferences to city departments.

What this form is

This form collects business and property details, emergency contacts, alarm and utility information, and potential on-site hazards for Brookville Police and Fire Departments. It also asks about security camera registration and lets businesses indicate preferred days and a contact person for scheduling a safety inspection. The form says fire inspections are annual and that some businesses may have multiple inspections per year.

Who needs it

Brookville business or property owners who want to provide emergency contact information and fire inspection scheduling preferences can complete this 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 sworn statement or notarized attachment, so the signer just signs and dates it.

How to submit this form

  1. 1

    Download the Form

    Download the Emergency Contact Form PDF.

  2. 2

    Complete the Form

    Fill in business and property details, emergency contacts, alarm and utility information, hazards, and inspection scheduling preferences.

  3. 3

    Gather Attachments

    The form does not list any required attachments.

  4. 4

    Submit to the City

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

Frequently asked questions

What information does the Emergency Contact Form request?
It requests business and property details, emergency contacts, alarm and utility information, potential hazards, camera registration status, and fire inspection scheduling preferences.
Do I need a notary for the Emergency Contact Form?
No. This form is signed and dated without a notary, and it lists no sworn statement or notarized attachment.
How do I submit the Emergency Contact Form?
The form does not specify a submission method or contact details. Submit it to the city department named on the form; check the city website for current contact details.
What does the form say about fire inspections?
It says fire safety inspections are annual, scheduled Monday through Friday from 9 a.m. to 4 p.m., and some businesses may be inspected multiple times a year.

Need something notarized?

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