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Hazardous Chemical Emergency Notification

City of Novi Fire Department
Emergency Contact and Property Information

(*) = Required
Emergency Contact #1
Emergency Contact #2
Do you own or lease the building this business is located in?:  

Does the business have an Automatic External Defibrillator?:

Fire Sprinkler System:  

Fire Alarm System:  

Burglary Alarm System:  

By checking the box, I hereby state that the information supplied is complete, accurate and without intentional omissions. I also acknowledge that the information will be used for government purposes only.:

Form 3 of 3