Administration

660-422-6317

Dispatch

660-747-2265

Business Contact Form

Update Or Add Your Business Contact Information

In the event of an after-hours emergency, it may be necessary to notify a business representative or request a key holder to respond. The information provided in this form will be securely stored in Johnson County Central Dispatch Computer Aided Dispatch system and utilized in the event of an after-hours emergency such as an open door, alarm activation, burglary, medical emergency, or fire.

Do we have your emergency contact information on file? Has your contact information changed since you last notified us? Please take a moment to complete or update your emergency contact information for each business and/or property that you manage.

Submit The Form Online

"*" indicates required fields

Person Submitting

Person Submitting Name*
Person Submitting Email*

Business Information

Business Email*
Business Address*

Business Owner #1

Business Owner Name*

Business Owner #2

Business Owner Name

Business Owner #3

Business Owner Name

Business Responsible Party #1 (If Different From Above)

Business Responsible Party Name

Business Responsible Party #2

Business Responsible Party Name

Business Responsible Party #3

Business Responsible Party Name

Business Alarm System Information

Alarm Types (Select All That Apply)*
This field is for validation purposes and should be left unchanged.
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