Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Contact Information Update Form

  1. Fire Prevention Division Logo
  2. Emergency Contact Information Update Form
    Accurate contact information for your business is critical to ensure that the Palatine Fire Department knows who to contact in the event of an emergency. The Palatine Fire Prevention Division also relies upon reliable contact information when conducting routine fire inspections, special events, and addressing concerns related to the fire code adopted by the Village of Palatine. The information provided below will be utilized to update our records and by our dispatch center should an emergency occur at your business. Should contacts change, please feel free to update this contact information or contact our office at 847-359-9029.
  3. Who should we contact, and in what order?
    Please enter the full name, phone number, and e-mail address of those we should contact in the event of an emergency at your business.
  4. Leave This Blank:

  5. This field is not part of the form submission.