City of Carmel Forms Page

Carmel Police and Fire Form

The following form is to assist the Carmel Clay Public Services (fire, police and communications) to better serve the Carmel Clay Business Community in case of emergencies.

Please fill in the form completely. Once completed, make sure all information is correct, then hit "Submit" at bottom of the form. At this point a confirmation web page containing the data you submitted will come to view. From this page you can print your file copy that we request you keep a record of for future reference.

This is confidential information and will be used for emergency purposes only.

If there are changes at any time to your information, you can submit a new form, or notify one of the two departments listed below as soon as possible. Your information is immediately sent to the Carmel City Fire, Police and Communication Departments

If you have any questions regarding this request, you can contact Sally LaFollette, Administrative Assistant, at the Carmel Fire Department (317) 571-2600.

Please help us serve you better.

Mail:

Carmel Fire Department
2 Civic Square
Carmel, IN 46032

Fax:

Carmel Fire Department Fax Line: 317-571-2615

Email: busupdate@carmel.in.gov

Carmel Clay Public Safety Services
Form

Business Name
Business Street Address
Address (cont.)
City
State
Zip Code
Business Phone
Business Fax Number
Business E-mail Address

Primary Contact Name
Title
E-Mail address
Home Phone
Cellular Phone
Pager

Alternate Contact Name
Title
Home Phone
Cellular Phone
Pager

Insurance Company:
Agent:
Phone:

Building Owner:
Phone:

Property Manager:
Phone:

Alarm Company:
Phone:
City Alarm Permit Number:

Special Information: (special hazards, security issues, additional contacts, etc.)

If you do not want to use the internet to submit your information,
please click here to obtain a printable form for faxing or mailing:

Carmel Clay Public Safety Services Form
(printer friendly .PDF format)

All about .PDF Forms click here

Questions:
Email: busupdate@carmel.in.gov

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