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revised 08/2022 SOUTHERN IDAHO REGIONAL COMMUNICATIONS CENTER Director: Kristy Churchman Deputy Director: Angel Hunsaker 911 East Avenue H ● P.O. Box 504 ● Jerome, Idaho 83338 (208) 324-1344 ● Fax (208) 324-5803 Dear Business Owner: Please take a moment of your time to complete the following information which will be added to our computer database and utilized should we need to contact a responsible person of your choosing after business hours. This information is strictly confidential and will provide our dispatch center with appropriate contact information for law enforcement and/or fire department responders should a key holder be needed at your business site in the case of an emergency, i.e., open door, damaged property, burglary, etc. Upon completion, please return this form to SIRCOMM either by fax, mail, or e-mail as follows: SIRCOMM P. O. Box 504 Jerome, ID 83338 Fax number 324-5803 [EMAIL REDACTED] If you have any questions or concerns, please contact Deputy Director Angel Hunsaker at [PHONE REDACTED] or [EMAIL REDACTED] Thank you in advance for your cooperation in this matter. Emergency Business Contact Information Name of Business: Complete Address: Business phone number: Names of key holders in preferred call out order: Name: Phone Number: Cell Phone: Name: Phone Number: Cell Phone: Name: Phone Number: Cell Phone: