Welcome to The Village of Holland Police Department

The Holland Police, on regular patrols, check businesses within our jurisdiction on a regular basis. The information provided here will assist the department in having dispatch reach business owners or property owners faster and more reliably. this information is kept at the Holland Police Department and also sent to the Lucas County Sheriff's Dispatch. This way notification can be made to the proper parties and the officer remains at the scene until the owner arrives.

Please complete this page and click the submit button.

Download a PDF of this form (Acrobat viewer required)

Email Address:
Business Name:
Type of Business:
Address of Business:
Business Phone:
Owner's Name:
Owner's Phone:

Contacts:
We ask for at least two contacts if one is unavailable, three is preferred.
Name:
Address of Contact:
Contact Phone:

Name:
Address of Contact:
Contact Phone:

Name:
Address of Contact:
Contact Phone:

Is there anything on the premises that is stored or used that we should know about (i.e. flammable liquids, acids, animals, other hazards) if so please describe below:

© 2002 The Village of Holland Police Department. All rights reserved.
Village of Holland, Ohio | Municipal Building | 1245 Clarion Ave. | Holland Ohio 43528
site by Digital-ink. Maintained by the Village of Holland


The Holland Police, on regular patrols, check businesses within our jurisdiction on a regular basis. The information provided here will assist the department in having dispatch reach business owners or property owners faster and more reliably. this information is kept at the Holland Police Department and also sent to the Lucas County Sheriff's Dispatch. This way notification can be made to the proper parties and the officer remains at the scene until the owner arrives. Please complete this page and click the submit button. Download a PDF of this form (Acrobat viewer required)
Email Address: Business Name: Type of Business: Address of Business: Business Phone: Owner's Name: Owner's Phone: Contacts: We ask for at least two contacts if one is unavailable, three is preferred. Name: Address of Contact: Contact Phone: Name: Address of Contact: Contact Phone: Name: Address of Contact: Contact Phone: Is there anything on the premises that is stored or used that we should know about (i.e. flammable liquids, acids, animals, other hazards) if so please describe below:
© 2002 The Village of Holland Police Department. All rights reserved. Village of Holland, Ohio \| Municipal Building \| 1245 Clarion Ave. \| Holland Ohio 43528 site by Digital-ink. Maintained by the Village of Holland