Business Security/Contact Form

The following information is requested annually from local businesses. This information is used in the event Massillon Police or Fire Departments need to contact someone after hours for an emergency such as a break-in, vandalism or fire.

This form is intended for official police use only. All information submitted will be kept confidential.

Business Security/Contact Form

After Hour Emergency Contacts — First Contact

First

After Hour Emergency Contacts — Second Contact

First

After Hour Emergency Contacts — Third Contact

First

Owner of Business

First
Sending
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