Edwardsville, PA · Luzerne County
Business Key Holder & Emergency Contact Form
Edwardsville businesses use this form to give local emergency services key-holder contacts and information for after-hours alarms or other emergencies.
What this form is
The form lets Edwardsville emergency services keep business contact, key-holder, alarm, and hazardous-material information on file for use during an emergency. Businesses are asked to provide an owner or manager’s details, list emergency contacts in preferred notification order, and answer questions about alarm systems, a Knox Box, and hazardous materials onsite. Update the city if the information changes.
Who needs it
A business located in Edwardsville Borough can submit this form so emergency services can contact responsible people during an incident.
How to submit it
Mail or fax the form, or drop it off at the Fire Department, 470 Main St., Edwardsville, PA 18704. Fax it to 570-331-0620, attention “Fire Communications.”
About notarization
No notary is required; the form requests business and emergency-contact details and does not identify a notarized attachment or sworn step.
How to submit this form
- 1
Download The Form
Download the Business Key Holder & Emergency Contact Form.
- 2
Complete Business Details
Enter business and owner or manager information, then list emergency contacts in preferred notification order.
- 3
Add Emergency Information
Answer the questions about alarms, alarm monitoring, a Knox Box, and hazardous materials onsite.
- 4
Submit To The Fire Department
Mail or drop off the form at the Fire Department, or fax it to the number listed on the form.
Frequently asked questions
- What is the Business Key Holder & Emergency Contact Form for?
- It gives Edwardsville emergency services business contacts and details they may need to respond to an after-hours alarm or other emergency.
- Who should complete this form?
- A business in Edwardsville Borough can provide its owner or manager’s details and list emergency contacts in preferred notification order.
- Do I need a notary for the Business Key Holder & Emergency Contact Form?
- No. The form does not require notarization or identify a notarized attachment or sworn step.
- How do I submit the Business Key Holder & Emergency Contact Form?
- Mail it or drop it off at the Fire Department at 470 Main St., Edwardsville, PA 18704, or fax it to 570-331-0620, attention Fire Communications.