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Business Emergency Contact Form

Please correct the field(s) marked in red below:

The following form is to assist the Carmel Clay Public Services (fire, police and communications) to better serve the Carmel Clay Business Community in case of emergencies.

Please fill in the form completely. Once completed, make sure all information is correct. Before you hit submit you may want to print the completed form page for your file copy that we request you keep a record of for future reference.

This is confidential information and will be used for emergency purposes only.

If there are changes at any time to your information, you can submit a new form, or notify one of the two departments listed below as soon as possible. Your information is immediately sent to the Carmel City Fire, Police and Communication Departments

If you have any questions regarding this request, you can contact Lara Mulpagano, Administrative Assistant, at the Carmel Fire Department (317) 571-2600. Please help us serve you better.


Carmel Fire Department 
2 Civic Square 
Carmel, IN 46032

Carmel Fire Department Fax Line: 317-571-2615 

  1. To receive a copy of your submission, please fill out your email address below and submit.