Town of Darien

Office of Emergency Management

Emergency Notification System

TOWN OF DARIEN, CONNECTICUT: REVERSE 911SYSTEM REGISTRATION FORM

Note: The Town of Darien has purchased and installed an Emergency Notification System to contact businesses and residents within the Town of Darien's borders with prompt emergency notices that may be sent to your neighborhood or even the entire town. Every effort will be made to make you aware of the situation and the emergency action instructions from the Town of Darien's Emergency Operations Center. If you give us a mobile telephone number please remember that while traveling the emergency messages may get to you, but the situation may not effect you in that particular location (out of town, out of state, or out of country).

*All fields are required to be filled out.

Your Full Name:

 

Business' or Resident's Address:

 

Business' or Resident's Contact Point:

  is my to use for messages from Reverse 911® system

Town:

 

State:

 

ZIP+4

 

Today's Date:

 

Database Action:

 
 

Thank you for your information we will enter it into our database within the next two weeks. 

Your EMAIL address: so we may contact you if necessary.

Click here to submit your request. After submitting request you will get a view of the submitted results with a thank you note. Any type of error message shows that it did not work properly.