Emergency Alerts and Lockbox Signup
Help us help you! We will alert you when a road is closed, power is out, etc. 

This will also help us contact you or another keyholder if we are called to your home or workplace in Brooklin.

Even better, answer yes later in this form to request a lockbox so that we can quickly enter your property if no one is there or able to open the door for us. The lockbox is free and can only be opened by a member of the fire department through a process that has full accountability and control.
Sign in to Google to save your progress. Learn more
Email *
Nickname *
What do most people call you?
Last Name *
Formal
If you think that it is important for us to have your legal first name as well as your nickname, enter that here
Mobile *
What is your mobile number? Please use this format: (###) ###-####
In town *
How often are you located in Brooklin? If you are not here year round, please check off each month that you are here
Required
Residence? *
Do you have a full time or seasonal residence in Brooklin?
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Brooklin Fire Department.

Does this form look suspicious? Report