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Please assist the City by providing the following information. This information is used by the Casselberry Police Department for contacting key personnel in case of an emergency.
Please complete the information sections below and submit the request online. Alternatively, the below form can be printed and brought or mailed to the Casselberry Police Department located at 4195 South U.S. Highway 17/92, Casselberry, Florida 32707.
Under Florida law, email addresses are public records.
After Hours Contact Name(s) and Number(s)
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public-records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.
This field is not part of the form submission.
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