Berkeley Police Department

Berkeley Business Emergency Contact Form

This form was created to provide Berkeley business owners and managers with an easy way to supply their current contact information to the Berkeley Police Department. This information would only be used by Berkeley Police Department Dispatch to contact individuals if an emergency occurs on their property outside of normal business hours.
Any information provided on this form will be kept in strict confidence.

If you are unable to read or submit this form online, please participate by contacting Kimberly Reeve via email KReeve@ci.berkeley.ca.us, or telephone (510) 981-5900.

Business Name:

Business Phone Number:

Business Hours:

Property Alarmed?

If the property is alarmed please provide the following information:

Alarm Company:

Alarm Company Phone Number:

Please provide the following emergency contact information:

Contact Name:                                    Contact Title:                        Contact Phone Numbers:


Secondary Contact Name:               Secondary Contact Title:             Secondary Contact Numbers:

Please provide any additional information you believe would be important for responding
police officers to know when responding to a call on this property: