Form Center • Fountain Valley, CA • CivicEngage

Introduction

Emergencies happen when we least expect it and many times when we are away from our homes and businesses. In the event of an emergency Fountain Valley Police Department asks you provide us with 24-hour contact information for your Fountain Valley home or business.

This information will remain confidential and will only be accessible to Police Department personnel.

Please complete the form for your home and business in Fountain Valley and select submit. This form should be completed twice if you have more than 1 property in Fountain Valley.
Information Security
Your security and privacy is our 1st concern! Your information will not be sold or transferred. It will be used by law enforcement personnel only.
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Does your home or business have an installed alarm system?
1. Yes
1. No
Alarm Company Name*
Alarm Company Phone*
Alarm Permit Note
Every home and/or business with an alarm system must also have an Alarm Permit issued through the city.
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This information is who should be contacted in case the primary contact is unavailable.
First Name
Last Name
Phone Number
1. Add Another Contact
First Name
Last Name
Phone Number
1. Add Another Contact
First Name
Last Name
Phone Number
1. Add Another Contact
First Name
Last Name
Phone Number

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