I recently moved into Marengo County.

What does your home look like (house, trailer, color, brick, wood etc.)? *

Email: *

Name of person who filled out form *

Address

Have you recently moved into Marengo County?

If you checked other on the question above please explain below

Name(s), address(s) and phone number(s) including cell phone numbers of emergency contacts for this location. This will be used in case there is an emergency at this location or if you are sick and we need to call someone for you

If you have a picture of your home please click the button below and send it to us.

In order for us to provide the best possible assistance in the event of an emergency we need to know where you are. If you have recently moved into Marengo County and already have an address please take a few minutes to let us know.

Name(s), address(s) and phone number(s) including cell phone numbers of key holders for this location

Phone

Marengo County Emergency Communications District

Name: *