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.
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.
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