Milton, PA · Northumberland County
Business Contact Information Request
Milton businesses use this form to provide contact, building, and emergency-response information for police, fire, and EMS.
What this form is
This form collects business and building details, alarm and sprinkler information, hazardous-material information, and contacts who may assist emergency responders. Businesses can use it to provide updated information or indicate that no changes are needed from the previous year. It also asks about evacuation assistance, contact availability, travel time, and whether contacts have keys.
Who needs it
A business seeking to provide or update contact and emergency-response information for its Milton establishment should complete this form.
How to submit it
Email, mail, or fax the form to Tyler Maneval, CAD Administrator, at the contact details printed on the form; email is preferred.
About notarization
This document has no notary block and gives no instruction to sign or date the form.
How to submit this form
- 1
Download the Form
Download the Business Contact Information Request PDF.
- 2
Complete the Business Details
Provide the business, building, alarm, safety, and emergency-contact information requested.
- 3
Check for Attachments
The form does not list any required attachments.
- 4
Submit the Form
Email, mail, or fax it to Tyler Maneval, CAD Administrator, using the details on the form; email is preferred.
Frequently asked questions
- What information does the Business Contact Information Request collect?
- It asks for business and building contacts, alarm and sprinkler details, hazardous materials, evacuation assistance needs, and emergency contacts.
- Who should complete this form?
- A business providing or updating contact and emergency-response information for its establishment should complete the form.
- How do I submit the Business Contact Information Request?
- The form says to email, mail, or fax it to Tyler Maneval, CAD Administrator, using the contact details printed on the form; email is preferred.
- Do I need a notary for the Business Contact Information Request?
- No. The document has no notary block and gives no instruction to sign or date the form.
Need something notarized?
This Business Contact Information Request doesn’t need a notary — but if you have another Milton form that does, a commissioned online notary can help.