Local Emergency Contact Information Form for Licensed Short Term Rentals

2. 

4. This information is required due to the adoption of Ordinance No. 1732, Article I, Section 8-41 and 8-42 to further regulate the Business of Dwelling unit vacation Rentals.

   This information is required due to the adoption of Ordinance No. 1732, Article I, Section 8-41 and 8-42 to further regulate the Business of Dwelling unit vacation Rentals.

6. Rental Property Physical Address

8. Unit/Suite Number

10. Rental Property Owner

12. Local Emergency Contact Information
    Please complete all fields with current contact information.

    Please complete all fields with current contact information.

14. Contact Name

16. Contact E-mail Address

18. Contact Phone

20. Is this a change of information?

    1. Yes
    2. No

22. If Yes, please explain the reason for this change

    i.e. The property was sold to a new owner, the location is not a rental unit, you have no knowledge and/or connection with this location, etc.

24. Additional Information

    Please use this section to tell us of any other changes and/or information of which you would like us to be aware.

26. Verification of Information

    1. I agree

    By submitting this form, I agree that this information is true and complete to the best of my knowledge.

Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field