HARVARD POLICE
40 Ayer Road
Harvard, MA 01451
(978) 456-1212
Fax: (978) 456-8313


The Harvard Police Department is updating our emergency contact information
on all Harvard businesses. Please take a few minutes to complete the
questionnaire below and return to the Harvard Police Department.

Please be sure to include emergency names and phone numbers for after hour
contacts, where applicable. Thank you for your time and attention in this
matter.

Edward D. Denmark
Chief of Police

Business Name: ______________________________________________________________

Address: ____________________________________________________________________

Business Telephone: ( ______ ) ______ - ________

Fire Alarm: Yes [ ]     No [ ]      Burglar Alarm: Yes [ ]     No [ ] 

Alarm Company: ______________________________________________________________

Telephone Number: ( ______ ) ______ - ________

Business Owner: _____________________________________________________________

Address: ____________________________________________________________________

Home Phone: ( ______ ) ______ - ________     

Property Owner: _____________________________________________________________

Home Phone: ( ______ ) ______ - ________

Emergency Contacts:

1. Name: ____________________________     Phone: ( ______ ) ______ - ________

2. Name: ____________________________     Phone: ( ______ ) ______ - ________

3. Name: ____________________________     Phone: ( ______ ) ______ - ________

Additional Information: _____________________________________________________

_____________________________________________________________________________