Wise County Premise Information Form

This form is intended for current Wise County TX residents to provide specific information regarding your property, and anything you would like first responders to know when responding to your residence, to keep on file with your respective dispatch center (Wise County Sherriff's Office Communications, Bridgeport Communications, or Decatur Communications) . If applicable, information about your special needs will be placed on file and will enable emergency personnel to recognize that your call may require special handling. Please update this as information changes .

Last Name

First Name

Phone

Street Address

City

Zip Code

Are you located within Bridgeport city limits?

Are you located within Decatur city limits?

Is this your first time providing information?

OR

Are you updating existing information?

Provide a brief Description of what you want first responders to know when responding to your home.

Gate Code

If applicable

Door Code

If applicable

Hidden Key Location

If applicable

Someone resides at this residence with special needs

(i.e. wheelchair bound, bed confined, oxygen dependent, functional access needs, etc)

Name of person to call if there is an emergency at your home

Phone number of person to call if there is an emergency at your home

Send me a copy of my responses

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