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*Name:
*StreetName:
*StreetNumber:
Address2:
*City:
*State:
*ZipCode:
 
*Telephone:
TTY:
Email Address:
   
If so, do you have a home phone?
*Is this a cellphone?
*Is this number listed?
*Is this a residence?
* = Required
  
Reverse 911 is a phone-based emergency notification system. In the event of an emergency, such as a gas leak or terrorism incident, emergency personnel can specify the areas of the city affected and dial every 'land line' phone number associated with a property in the defined area and play a recorded message that includes instructions on what you need to do.
Before such an emergency happens, the City of Roanoke wants to ensure that we have contact information for all of our residents and businesses. Residences and businesses with only cell phone or broadband phone service are currently not listed in our database and are encouraged to submit their phone number so that if something happens, we can reach you.
(Example: 540 - 555 - 1212)
(Example: 540 - 555 - 1212)

   
Cell Service Provider: