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.

Confidential Business Contact Information

  1. Our Need for Business Information
    There are many times that we struggle to find an owner or manager of a business after he or she becomes the victim of a crime. Occasionally our officers observe or find suspicious activity around local businesses, but they do not have a contact with the business to call and ask questions about the activity. Below are some personal questions about your business. All of this information will be kept confidential. Please complete this form with your most current information and fill in the details you feel we should know. Any information such as leaving the register open, leaving lights on, etc. is important information to our officers. You only need to answer the questions you are comfortable with the Bridgeport Police Department knowing.

    In addition to the form listed below, the Bridgeport Police Department currently uses Blackboard Connect to notify the community with trusted neighborhood level public safety and community information.
  2. Owner / Manager Information
  3. Including City, State, Zip
  4. Including City, State, Zip
  5. Including City, State, Zip
  6. Including City, State, Zip
  7. Emergency Contacts
    Someone with a key in case of burglary, theft, vandalism, etc.
  8. Including City, State, Zip
  9. Including City, State, Zip
  10. Business Information
  11. Do you have an alarm?
  12. Is the alarm silent or audible?
  13. Which of the following do you have alarm sensors on?
  14. Thank you for partnering with the Bridgeport Police Department to help fight crime!
  15. Leave This Blank:

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