Emergency - Bad Weather Notification Form
Emergency or Bad Weather Notification Request
Description: Emergency/Bad weather notification **DISCLAIMER**
Data charges may apply based on your service carrier.
Contact E-Mail:
*First Name:
*Last Name:
*Department:
*Please check the preferred method(s)
of notification: Text Message
Email
Phone
Personal Mobile Phone:
City phones are automatically added to notification list
Notification Email: (if different from
above)
*
Printed Name Position
Signature Date
*This information is: New - please add my information