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BUSINESS PREMISE FORM (**PLEASE PRINT CLEARLY AND LEGIBLY) Date: Business Business Business Days & Hours of operation: Alarm Company & Phone Hazardous materials: Y / N (**If YES please notify your local fire department with the details.) Do you have surveillance cameras? Y/N AFTER HOURS CONTACTS 1. Name/position: Home Cell 2. Name/position: Home Cell 3. Name/position: Home Cell Would you like contact from EPSO Crime Prevention Coordinator for a business security assessment? Y/N **PLEASE KEEP US INFORMED OF ANY CHANGES TO THE ABOVE INFORMATION SO THAT WE CAN BETTER SERVE YOU. THANK YOU