Emergency Business Information Form
Lake Geneva Fire Department
Fire Prevention Bureau
 730 Marshall Street
Lake Geneva, Wisconsin 53147
Business Phone:  262.248.6075          Fax:  262.248.2264

The Lake Geneva Fire Department maintains Emergency Business Information
for all businesses located within its response area. 
The purpose for this information is strictly for notification in case of an emergency after normal business hours.
Fill in your information on the computer then print  before submitting to fire department.

Occupancy ID number as listed on top of inspection form  
Business Name  
Address  
Business Phone   - -
Business Fax   - -
Business Owner's Name  
Address  
Phone   - -
Building Owner's Name  
Address  
Phone   - -
Emergency Contact #1 Name  
Phone   - -
Key Holder   CHECK ONE    Yes     No
Emergency Contact #2 Name  
Phone   - -
Key Holder   CHECK ONE    Yes     No
Fire Alarm   CHECK ONE    Yes     No
Alarm Company's Name  
Phone   - -
     
COMPLETE THIS FORM AND RETURN WITHIN 5 BUSINESS DAYS
 FAILURE TO DO SO MAY RESULT IN A $500.00 FINE

FIRE INSPECTOR'S USE ONLY

KNOX BOX  Yes     No           DATE ____/____/________          INSPECTOR'S NUMBER _______________