North Branch, Minnesota Police Department, North Branch Police Department Contact & Location Info


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The North Branch Police Department would like to encourage all business owners within the City of North Branch to take a moment and fill out a key holder/emergency contact form for their business.

The information you provide on this form is critical to law enforcement personnel in the event of an after-hours emergency concerning your business. An after-hour emergency may include unsecured doors or windows, burglaries/thefts, fires, gas/water leaks, etc. The directory is kept on file at the North Branch Police Department and with the Chisago County Sheriff’s Department Dispatch Center and is only used by law enforcement in cases of emergencies.

Fill out the form as often as needed to keep your information up-to-date.

Thank You

NORTH BRANCH POLICE DEPARTMENT

EMERGENCY KEYHOLDER CONTACT INFORMATION

(City of North Branch Business' Only)

New Information Update of Existing Information

Today's Date * (Required)

BUSINESS INFORMATION

Business Name

* (Required)

Phone * (Required)

Street Address * (Required)

EMAIL * (Required)

BUSINESS HOURS

SUNDAY		to
MONDAY		to
TUESDAY		to
WEDNESDAY		to
THURSDAY		to
FRIDAY		to
SATURDAY		to
Other Business Hours

The information on this form will be used by the North Branch Police Department in the event of an emergency or incident, during non-business hours, at your place of business. We request that key holders residing in the North Branch area be listed first as they will be contacted in the order listed.

OWNERS/ KEY HOLDERS

NAME	TITLE		PHONE
			ALTERNATE PHONE
ADDRESS		RESPONSE TIME (IN MINUTES)

NAME	TITLE		PHONE
			ALTERNATE PHONE
ADDRESS		RESPONSE TIME (IN MINUTES)

NAME	TITLE		PHONE
			ALTERNATE PHONE
ADDRESS		RESPONSE TIME (IN MINUTES)

NAME	TITLE		PHONE
			ALTERNATE PHONE
ADDRESS		RESPONSE TIME (IN MINUTES)

ALARM COMPANY INFORMATION

NAME OF ALARM COMPANY

ADDRESS

PHONE NUMBER

OTHER PERTINENT INFORMATION ABOUT YOU BUSINESS

Please list any information that would be helpful to emergency personnel, such as location of hazardous materials, used and/or stored, disabled individuals on premises, or location of emergency lighting controls.

HAZMAT / MATERIAL NAME

ID #

OTHER
INFO