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Business Registry Form

This form can be used by businesses that are located within the Town or Village of Webster, NY to notify or update the Webster Police Department who they would like to be contacted in the event of an incident after hours. All information submitted will be verified before being considered valid. If you have any questions about this form please contact Officer Hart (585) 872-1216.
Date*
Business Name*
Name and Position of the person completing this form.
Business Address*
Business Email Address (email address that is checked by a owner/manager)
City
State*
Zip Code*
Description of business.
In the event that the Webster Police Department would need to make contact regarding an emergency or an incident after normal business hours, please complete the section below in the order you wish contact to be made.
Employee Name*
Employee Relationship to the business
Employee Address (St, City, St and Zip)*
Employee Phone Number*
Employee 2 Name
Employee 2 Relationship to the business
Employee 2 Address (St, City, St and Zip)
Employee 2 Phone Number
Employee 3 Name
Employee 3 Relationship to the business
Employee 3 Address (St, City, St and Zip)
Employee 3 Phone Number

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