Commercial/Industrial Emergency Contact Form

PLEASE COMPLETE DURING INSPECTION AND RETURN TO INSPECTOR. IF FORM CANNOT BE COMPLETED DURING INSPECTION THEN RETURN AS SOON AS POSSIBLE VIA Email to [email protected], Fax: 508-994-1515 OR USPS to 146 Washington Street, Fairhaven, MA 02719

COMPLETE ALL SECTIONS LEGIBLY AND IN FULL
The information obtained below is used in the event of an emergency at the business location. Please provide at least 1 additional contact person in the case that an owner cannot be reached

Business Information
Business Owner
Additional Business Owner
Property Owner Information (If different from Business Owner)
Emergency Contact Numbers (persons other than the owner(s) that have access to the building)

FFD Initials: