East Petersburg, PA · Lancaster County

No notary required

Business Emergency Notification Reporting Form

East Petersburg businesses and organizations use this form to provide emergency contacts and facility details for after-hours incidents.

What this form is

This form gives East Petersburg Borough a current list of business or organization contacts and phone numbers for emergencies after normal business hours. It asks for organization and business details, up to four emergency contacts in preferred call order, alarm or security information, lighting details, and other pertinent information. Businesses are encouraged to send an updated form when contact information changes.

Who needs it

Businesses and organizations in East Petersburg Borough should complete the form so emergency responders can reach a representative after normal business hours.

How to submit it

The form may be emailed, faxed, mailed, or hand-delivered to the borough office. The document lists Emergency Management Coordinator Violet De Stefano at [email protected] for questions.

About notarization

This document does not require a notary; it lists no notarized attachment or sworn step, and the signer just signs and dates it.

How to submit this form

  1. 1

    Download The Form

    Download the Business Emergency Notification Reporting Form.

  2. 2

    Complete The Form

    Enter the organization and business details, emergency contacts in preferred call order, and other requested information.

  3. 3

    Gather Optional Floorplan

    If possible, share a copy of the facility floorplan by email to assist the Fire Department with emergency-response planning.

  4. 4

    Submit To The Borough

    Email, fax, mail, or hand-deliver the completed form to the borough office.

Frequently asked questions

Do I need a notary for the Business Emergency Notification Reporting Form?
No. The form does not require notarization and lists no notarized attachment or sworn step; the signer just signs and dates it.
How do I submit the Business Emergency Notification Reporting Form?
The document says to email, fax, mail, or hand-deliver the form to the borough office.
What information does the form request?
It requests organization and business details, up to four emergency contacts in preferred call order, alarm or security information, lighting details, and other pertinent information.
When should a business send an updated form?
The form encourages businesses to notify the borough with an updated form as soon as contact or other information changes.

Need something notarized?

This Business Emergency Notification Reporting Form doesn’t need a notary — but if you have another East Petersburg form that does, a commissioned online notary can help.