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Reverse 9-1-1 Form

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Emergency Contact Information

Please take a moment to fill in the appropriate information below to be notified by your local emergency response team in the event of emergency situations or critical community alerts. Examples include: evacuation notices, endangered senior, bio-terrorism, alerts, boil water notices, and missing child reports.

If your number is a listed number, it is already in our system, however, if you have an unlisted number or wish to include an alternate contact number, please use this form to provide that information. This information is for official use only and is kept strictly confidential.

*Required Fields

Physical address only, no P.O. boxes
If you have a listed phone number, it has already been added into our system. The City of Elmhurst is now soliciting unlisted phone numbers to be included.
If you desire, please provide an alternate phone number (alternate numbers can include, work, other family member phones or cell phones).

Note: entering both a primary and alternate number will cause BOTH phone numbers to be contacted in the event a call goes out for the address specified. If you have voicemail or an answering machine, you will receive a message.

Businesses: if you have an automated phone system, submit an alternate emergency notification phone number that will bypass that system.

Phone numbers are for official use only and are kept strictly confidential

TDD/TTY: check TTD only if you are hearing impaired and would like tone delivery of emergency messages - messages delivered to phone numbers marked TDD will ONLY be delivered in TDD/TTY format.


Questions? Please call 530-3090
 
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City of Elmhurst, 209 N. York St, Elmhurst, IL 60126, Ph: (630) 530-3000