Skip to Main Content
Loading
Loading
Create a Website Account
- Manage notification subscriptions, save form progress and more.
Website Sign In
Government
Departments
Residents
Business
About Us
Home
Forms
Business Information Sheet
Leave This Blank:
The Columbus-Platte County Joint Communications Center would like you to take a few minutes to complete the information below.
This data will assist us in the event that we would need to make contact with a business representative after normal business hours.
Please complete and submit the below form.
A phone call will be made to the business to confirm this information. Thank you for your help.
Business Name
*
Street Address
*
Business Phone Number
*
Business Fax Number
Business Email
After Hours Contact(s)
Primary Contact
*
Phone
*
Alternate Contact
Phone
Alternate Contact
Phone
Hazards on site (hazardous materials, animals on site, etc)
Is your business equipped with an alarm system
*
Yes
No
Alarm Company Name and Phone Number
Please indicate where your entrances/exits are located
*
Hours of operation
*
Special Instructions for Police/Emergency Services
* indicates required fields.
Live Edit
Cross-Connection Control Survey: Residential
How do I...?
Apply for a Job
Access City Council Agendas & Minutes
Access Municipal Code
Browse Events Calendar
Contact a City Department
Receive E-mail Notifications
Elections
Voting Information
Agendas & Minutes
City Council & Committees
Other Committees
Employment
Municipal Code
Facebook
FAQs
E-Services
Archive Center
Bids/RFPs
Calendar
Carbon Calculator
Citizen Inquiry
Document Center
Facilities
FAQs
Jobs
Media Center
News Flash
Notify Me
Online Forms
Quick Links
Resource Directory
Staff Directory
Maps
Arrow Left
Arrow Right
[]
Slideshow Left Arrow
Slideshow Right Arrow