Please complete all appropriate fields that apply to your organization/officers. Read all notes at the bottom of the form.

NOTES:

It’s imperative that we have cell phone numbers, email addresses and other pertinent contact info for each member of your leadership team as we may need to contact these individuals in an emergency, or non-emergency related to projects, programs or issues affecting your agency and our emergency services community.

Thanks in advance for your cooperation in completing this form and keeping your contact information up to date anytime there are changes in officers.

Connect with us via www.erie.gov/fire, on YouTube, on our Facebook page at: https://www.facebook.com/ErieCountyESU/, and via our Twitter feed: https://twitter.com/ErieCountyESU