ORCA PUBLIC SAFETY EMERGENCY CONTACT FORM

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INFORMATION IS FOR

Member Name: *

Spouse Name

Ocean Reef Address *

Home Phone

Mobile Phone *

Mobile Phone

Member Email Address: *

Spouse Email Address:

Ocean Reef PO Box

Alternate Address *

City *

State *

Zip Code *

Alternate Phone

Guest House Address

Does Anyone Besides Your Spouse Live With You? *

Yes

How Many People? *

Name *

Contact Number: *

Relationship: *

Name *

Contact Number: *

Relationship: *

Name *

Contact Number: *

Relationship: *

Name *

Contact Number: *

Relationship: *

Pets

Upon completing this form, click the PET REGISTRATION link to register your pets with Public Safety. Don't forget to include a photo!

Vehicles

How Many Vehicles Do You Have? *

Vehicle Make *

Model *

License Plate # *

License Plate State/Country *

Vehicle Make *

Model *

License Plate # *

License Plate State/Country *

Vehicle Make *

Model *

License Plate # *

License Plate State/Country *

ORCA Public Safety provides automatic gate openers to homeowners only. If you'd like a gate opener (one per vehicle), please visit the Member's Services Desk at Public Safety, Monday-Friday, 9am-11am and 12pm-4pm. Thank you!

Vessels

How Many Vessels/Personal Watercraft Do You Have at Ocean Reef? *

Type of Vessel *

Length (feet) *

Color *

Name of Vessel:

Registration # *

Type of Vessel *

Length (feet) *

Color *

Name of Vessel:

Registration # *

Type of Vessel *

Length (feet) *

Color *

Name of Vessel:

Registration # *

Golf Carts

ORCA requires Golf Carts to be registered with Public Safety. (ORCA Cart registration decals are either blue or red, and have a 4-digit number.) If one or more of your carts are not registered, please click on the GOLF CART REGISTRATION link once you have completed this form, or visit the Member Services Desk at Public Safety at your earliest convenience. Once you complete the online form, you can pick up your registration decals from Public Safety. Thank you!

How Many Golf Carts Do You Have? *

Cart Make/Brand *

Cart Color *

# of Seats *

Is it Registered? *

Yes

No, I will register it

Cart Decal # *

Cart Make/Brand *

Cart Color *

# of Seats *

Is it Registered? *

Yes

No, I will register it

Cart Decal # *

Cart Make/Brand *

Cart Color *

# of Seats *

Is it Registered? *

Yes

No, I will register it

Cart Decal # *

Property Manager Contact Information

Property Manager Name

Phone

Rental Manager Contact Information

Rental Manager Name

Phone

Emergency Contacts (Outside of Residence)

Name *

Address

Phone *

City *

State *

Zip Code

Relationship *

Name

Address

Phone

City

State

Zip Code

Relationship

Permitted Companies/Staff

Authorized Service Personnel/Company (Lawn, pool, etc.)

Phone

Service Type:

Phone

Service Type:

Phone

Service Type:

Phone

Service Type:

Phone

Service Type:

Alarm Information

My Property Has: *

Burglar Alarm Company *

Phone Number *

Passcode (Public Safety Use Only)

Fire Alarm Company *

Phone Number *

Passcode (Public Safety Use Only)

Additional Information

Any Additional Information?

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