Business Information Update Request

information-iconThe Fairfield Police Department maintains records on businesses located in the Town of Fairfield. The purpose of these records is to provide emergency personnel with contact information in case of an emergency (i.e. burglary, fire, open door) at the business after hours.  This information is kept confidential and secure in our Computer Aided Dispatch (CAD) system.

To update your information please fill out the form on this page or call the Fairfield Police Department at (203) 254-4800.

Business Information

Business Name: *

Business Address: *

Business Phone: *


Owner Information

Name of Business Owner: *

Primary Phone Number: *

Secondary Phone Number:

E-Mail Address: *


Property Information

Name of Property Owner: *

Primary Phone Number: *

Secondary Phone Number:


Emergency Contact Information

Emergency Contact #1:

Name: *

Phone: *

Emergency Contact #2: (optional but recommended)

Name:

Phone:


Additional Information

Is the property equipped with an Alarm System? *

If yes, what is the Name and Phone Number of the Alarm Company?

Please provide us with any additional information that might be helpful when Police or Fire personnel respond to your business: