Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Emergency Business Contact Information

  1. Emergency Contact Information - Police

    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.

  2. Submit

    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.

  3. Business Information

  4. Under Florida law, email addresses are public records.

  5. Emergency Contacts

    After Hours Contact Name(s) and Number(s)

  6. Alarm Information

  7. Electronic Signature Agreement

    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.

  8. Electronic Signature*

  9. Email Notice

    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.

  10. Leave This Blank:

  11. This field is not part of the form submission.