In a situation where police or emergency personnel have responded to your business location after hours or to an emergency involving an employee on business in the City the Wheat Ridge Police Department will use the information provided here to contact you.

Business Name:*

City Account Number:*

Emergency contact person:*

Contact's relationship to the business:

Contact's phone number:*

Extension:

Is this a mobile phone?

No

Yes

May we send a text message in an emergency?

No

Yes

Emergency email address:

Contact's Wheat Ridge address:

Alternate contact's name:

Alternate's phone number:

Extension:

Alternate's email: