BRYAN POLICE DEPARTMENT AFTER HOURS NOTIFICATION FORM

Business name ___________________________________________________________

Physical address __________________________________________________________

Mailing Address ___________________________________________________________

Owner/Operator __________________________________________________________

Business Phone  (______) _________________  Fax (______) _____________________

Business Hours  ___________________________________________________________

Alarm Company ___________________________________________________________ 

Alarm Company Phone (______) ______________________________________________                    

E-mail address ____________________________________________________________ 

Emergency Contact Information....First person listed is the first called

1.  Name __________________________________  Home phone (______) ____________

     Address ________________________________   Cell Phone    (______) ____________

2.  Name __________________________________  Home phone (______) ____________

     Address ________________________________   Cell Phone    (______) ____________

3.  Name __________________________________  Home phone (______) ____________

     Address ________________________________   Cell Phone    (______) ____________

4.  Name __________________________________  Home phone (______) ____________

     Address ________________________________   Cell Phone    (______) ____________

Please update when names on the after hours list change. 

If you have any questions contact Sheri Cooper at the Bryan Police Department 419-636-4233 ext 287.

Please return to the Bryan Police Department 103 North Beech Street Bryan Ohio 43506

Return by fax to 419-636-1125

Return by e-mail bryanpd@cityofbryan.com