Residential Pre-Plan Form - East Meadow Fire Department

East Meadow

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Please use the form below for submitting your information.

Name(Required)

Address(Required)

Main Phone(Required)

Second Phone

Email(Required)

Emergency Contact #1 Name(Required)

Emergency Contact #1 Phone(Required)

Emergency Contact #2 Name

Emergency Contact #2 Phone

Knox-Box Code/Location

Special Needs Individuals/ Children / Elders / Pets

(how many, names, etc)

Basement(Required)

Full

Partial

None

Electrical Panel Location

Gas Location

Solar Panels / Shutoff Location

Generator (Natural Gas / Diesel) / Location

Additional Information

Enter the Email You want your Receipt Sent to(Required)

District Building
197 East Meadow Avenue
East Meadow, New York 11554 (Map It)
516-542-0578 EXT. 636
Fax: 516-542-0593
Email: [email protected]