Special Details Information

Alpena County Central Dispatch
Special Details Information

The 9-1-1 system will automatically display your telephone number and special conditions or instructions you provide to the Alpena County 911 Office. Please fill in the requested information below. The information you provide is critical in assisting during an emergency at your location. ALL INFORMATION IS CONFIDENTIAL! This information is valid for one year and will require annual updates to continue validity.

If you are updating information that is already on file, please provide the old and updated information below:

Old Telephone No:

Please add a valid phone number

Old Address

Updated Information: Telephone No: Last Name: First Name: Street Address: Apt#: City

Please add a valid phone number

Name

First NameLast Name

Street Address

Apt#

City

Zip

This address is a

Landlord

The Following Hazardous Materials Exist At This Address

Any other pertinent information

Last Name

First Name

Date of Birth

MonthDayYear

Special Needs Person at This Address

There is a door key and/or (key-holder w/name & telephone number) located at:

PLEASE RETURN TO:

Alpena County Central Dispatch
by mail: 720 W. Chisholm Street, Suite #13,
Alpena, MI 49707
by fax: (989)354-9828
by email: Alpena911@alpenacounty.org