Homeowners Contact & Emergency Information / Release of Liability Agreement

Eagle Rock at Snow Canyon Homeowners Association

Homeowners Contact & Emergency Information

(Rev. September 2021)
In case of an emergency, the Association will attempt to contact the homeowner before the emergency contacts listed below. The third option will be for the Association to handle the emergency in the best interest of the homeowner and the neighborhood. That may include incurring costs to secure the lot/unit from further damage and future safety issues.
Contact Information
Homeowner(s)*
Unit #:*
Mailing Address for Receiving All Important HOA Documents:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Phone Number
Please enter a valid phone number.
Email*
example@example.com
Email
example@example.com
Emergency Contact Information
Name of Emergency Contact*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Do they have access/key to your unit?*

YesNo
Are they in the local vicinity?*

YesNo
Second Emergency Contact

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Do they have access/key to your unit?

YesNo
Are they in the local vicinity?

YesNo
For Leased Units
Is your unit leased?*

YesNo
Manager's Name
Manager's Phone Number
Please enter a valid phone number.
Manager's Email
example@example.com
Name of Lessee
Phone Number of Lessee
Additional Information (if any)
It is our responsibility as homeowners to make sure this information is kept current and accurate. I/We also agree that the Association may take measure to secure the lot/unit (which may incur costs that will be the responsibility of the homeowner) if all of the contacts listed above are unavailable.
Signature (use mouse)

Clear
OR
Electronic Signature (By entering your name, you are certifying that you are completing this form as the legal owner of the unit.)*
Date*

MonthDayYear
Date
All information contained in this document is for the exclusive use of the Eagle Rock Homeowners Association.
Should be Empty:

Contact Information

Emergency Contact Information

For Leased Units