Submit

Submit
Douglas County Emergency Communications Center
111 E 11th Street Unit 200, Lawrence KS 66044
(785) 832-5237
(785) 330-2801 (fax)
Deputy Director Lori Alexander (785) 330-2861
Website: www.douglas-county.com
Email: [email protected]
Business Contact Information
Business Contact for after hours, weekends, and holidays. Contact numbers will only be used when
there is an emergency at the business after hours and a responder is needed.
* Required for all contact persons
Business Name:
Phone:
Business Address:
Business Owner:
Business Owner Address:
*Driver’s License Number/State:
First Contact Name:
*Driver’s License Number/State:
*Phone:
*Cell Phone:
Second Contact Name:
*Driver’s License Number/State:
*Phone:
*Cell Phone:
Third Contact Name:
*Driver’s License Number/State:
*Phone:
*Cell Phone:
Alarm Company Name:
Alarm Company Phone:
Is there a lock box or key box?
Location:
20140810
Yes
No