Emergency Contact Information Form


The Rocklin Police Department believes that crime prevention plays an important role in running a business that is safe for employees and customers, profitable for owners and management, and aesthetically appealing and inviting to the community.

The form below supplies the Police with important information to protect your business.

There are two ways to submit: Click the PDF below, fill it out, print it and fax, or deliver it to:

Rocklin Police Department
Attn: Emergency Contacts
4080 Rocklin Rd.
Rocklin, CA 95677 
Fax: 916-625-5495

Lobby Hours:
8 a.m. – 5 p.m.
Monday through Friday

Emergency Contact Form (fillable PDF)

Alternatively, you can fill out the webform below, and it will be transmitted securely.