UCPD
UCPD VIDEO SYSTEM
EMERGENCY CONTACT INFORMATION FOR AFTER-HOURS
Please provide COMPLETE contact information for those individuals in your department responsible for responding to the campus and meeting with UCPD after-hours.
Account No. DATE:
First Emergency Contact:
|LAST NAME: |FIRST NAME: |Title: |Campus Ext: |
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|Campus Mailing Address: | |
|Campus E-Mail Address: | |
|Home telephone number: | |
|Cellular telephone number: | |
|Pager number: | |
Second Emergency Contact:
|LAST NAME: |FIRST NAME: |Title: |Campus Ext: |
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|Campus Mailing Address: | |
|Campus E-Mail Address: | |
|Home telephone number: | |
|Cellular telephone number: | |
|Pager number: | |
Third Emergency Contact:
|LAST NAME: |FIRST NAME: |Title: |Campus Ext: |
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|Campus Mailing Address: | |
|Campus E-Mail Address: | |
|Home telephone number: | |
|Cellular telephone number: | |
|Pager number: | |
Please return completed form to:
UCPD – Crime Prevention Unit
36 Sproul Hall
MC 1199
Berkeley, CA 94720
(or E-mail to: UCPDvideoandalarm@berkeley.edu)
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