Reverse 911 Change Form

Please fill in the following information regarding whether you wish to ADD, CHANGE or DELETE your information from the Reverse 911 Database.  The information will not be sold or given to anyone outside the Eastside Communications Center.  Reverse 911 is only used for high-priority community notifications or public safety emergencies.

What is Reverse 911?

The Community Telephone Emergency Notification System, sometimes called Reverse 911, is built to pull up a selected grouping of phone numbers, call the number and play a prerecorded message giving emergency instructions to whoever receives the message. The system uses software to call selected phone numbers.  Phone numbers are supplied by the phone companies to the system each year to update the database. If a citizen or business moves or changes a phone number between phone company updates, they will need to notify the police department to make sure their information is up to date in the system. The numbers supplied by the phone company do not include unlisted numbers, so those people that wish to be notified in an emergency will need to supply their number to the Eastside Communications Center. Additionally, if a person or business does not wish to be notified in an emergency they can request that their number be removed from the database.
 

Are you Adding, Changing, or Deleting your number from the database?

Please Select One Add to Database Change information in Database Delete information from Database 

Please provide the following information about your address and phone:

Name on the phone account: Last, First, Middle

*required

Home or Business Address:	*required
Address (cont.):
Apartment, Unit or Suite Number:
Business Name:
City:
State:	Washington
ZIP + 4 Postal Code: For Example:  98006-1234 Find your Zip+4 on any piece of "junk-mail"	*required
Home or Business Phone (include area code):	*required
Type of Phone	Select One Home/landline Phone Cell Phone VOIP
E-mail:	*required