MACECOM Updating Emergency Contacts

You can help to ensure prompt and efficient response to emergencies at your business location by updating your emergency contact information, in the dispatch system.

Please inform/update MACECOM regarding your preferred contacts using the form below. MACECOM works with its public safety partners in order to provide quality police, fire, medical, emergency, and non-emergency services to all who live, work, and visit Mason County.

Completing this form should take less than five minutes.

– Step 1 of 3

Business Information

Business Name *

Physical Address *

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Mailing Address

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Business Phone *

Business Fax

Business Email

Business Hours *

Do you have an alarm company?

• Yes
• No

Alarm Company

Alarm Company Phone

Next

Emergency Contacts

Please list your business emergency contacts, in order of priority.

#1

#1 Name *

First

Last

#1 Home Phone

Home Phone

#1 Cell Phone

Cell Phone

#2

#2 Name

First

Last

#2 Home Phone

Home Phone

#2 Cell Phone

Cell Phone

#3

#3 Name

First

Last

#3 Home Phone

Home Phone

#3 Cell Phone

Cell Phone

#4

#4 Name

First

Last

#4 Home Phone

Home Phone

#4 Cell Phone

Cell Phone

#5

#5 Name

First

Last

#5 Home Phone

Home Phone

#5 Cell Phone

Cell Phone

Next

Special Comments/Instructions

Submitted by *

By submitting this form, I certify that I am an authorized representative of the named business and that all information is correct to the best of my knowledge.

Submit