Business Premise Form

Date

Business Name

Business Address

Business Phone Number

Alternate Business Phone Number

Days and hours of operation

Alarm Company

Alarm Company Phone Number

Hazardous Materials?

Yes

No

**If YES, please notify your local fire department with the details

Do you have surveillance cameras?

Yes

No

After Hours Contact #1

Include name, position, home phone number, and cell phone number

After Hours Contact #2

Include name, position, home phone number, and cell phone number

After Hours Contact #3

Include name, position, home phone number, and cell phone number

Would you like contact from our EPSO Crime Prevention Coordinator for a business security assessment?

Yes

No

Office of the Sheriff

27 East Vermijo Avenue
Colorado Springs, CO 80903
United States

719-520-7100 / 719-390-5555 (after hours)

2739 East Las Vegas Street
Colorado Springs, CO 80906
United States

719-390-2000