VILLAGE OF BELLVILLE .......................................................................BELLVILLE POLICE DEPARTMENT

BP-39

MAILING ADDRESS: 142 PARK PLACE BELLVILLE, OHIO 44813 FAX 419-886-2297

BUILDING SECURITY INFORMATION

 

NAME OF BUSINESS________________________________ TELEPHONE#_________________________

ADDRESS OF BUSINESS: __________________________________________________________________

HOURS OF OPERATION: __________________________________________________________________

EMERGENCY CONTACT: __________________________________________________________________

ADDRESS: ____________________________________________ TELEPHONE # ____________________

2ND EMERGENCY CONTACT: _____________________________________________________________

ADDRESS: ____________________________________________ TELEPHONE # ____________________

OWNER OF BUSINESS: ____________________________________________________________________

ADDRESS: ____________________________________________ TELEPHONE # ____________________

OWNER OF BUILDING: ___________________________________________________________________

ADDRESS: ____________________________________________ TELEPHONE # ____________________

ALARM: __________ TYPE: _____________ ALARM COMPANY: ______________________________
(Yes/No) (Bell/Siren/Silent)

ALARM COMPANY TELEPHONE # _________________________________________________________

HAZARDOUS MATERIALS: ________________________________________________________________

BUSINESS VEHICLES: ____________________________________________________________________

ADDITIONAL INFORMATION: _____________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

DATE CONTACTED: _______________ CONTACTED BY: _____________________________________

SIGNATURE OF PERSON CONTACTED: _____________________________________________________