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La Vista Business Emergency Contact Form

  1. This form was created to provide La Vista business owners and managers with an easy way to supply their current contact information to the La Vista Police Department. This information would only be used by Sarpy County Communications Center to contact individuals if any emergency occurs on their property outside of normal business hours.

    If you are unable to read or submit this form online, please participate by contacting Stacia Burt via email or by telephone at 402-331-4343

  2. Any information provided on this form will be kept in strict confidence.

  3. Does the Property have a Security or Fire Alarm System?*

  4. If the property is alarmed, please provide the following information.

  5. Please provide the following emergency contact information:

  6. Leave This Blank:

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