The Delmar Police Department asks all local businesses to keep an updated record of emergency contact information in case we need to contact anyone for an "after-hours" emergency. Please completely fill-in the form below and click the submit button when finished. The information you provide is kept confidential by our Department, and will only be used in the case of an emergency.

** Business Owners - You are responsible to keep this information current. Please update your information at least once a year, or whenever there is a change in the information you may have on record. Thank you for your cooperation.
Business Contact Information Form:
Company Name: *
Address: *
City: *
State: *
Zip: *
Business Owner Name: *
Name of Authorized Manager / Representative: *
Business Phone: *
Business Owner's Home Phone: *
Business Owner's Cell Phone:


* required fields