Form Center

2. Disclaimer

   Information submitted on this form will be sent via unsecured email. To protect sensitive information, do not enter the following items or similar information on this form: Social Security numbers, driver’s license numbers, bank account information, routing numbers, credit card numbers, medical information, passport numbers, and passwords. Please review our privacy policy located at www.jeffco.us/privacy. By submitting this form, you acknowledge and accept the terms listed in the privacy policy.

4. Contact the Office of Emergency Management

   To contact the Office of Emergency Management by email, please complete the online form provided below. We welcome your questions, comments and suggestions. If this is an emergency, dial 911. For immediate service, please call our non-emergency number at 303-271-4900. Responses to this form are provided Monday through Friday, 8 a.m. to 5 p.m.; most responses are provided within two business days.

6. Name*
8. Email*
9. Phone Number*
11. Comments and Questions*

    DO NOT use this section to REPORT AN EMERGENCY. Please call 911 for all emergencies. 

Leave This Blank:


13. 1. Receive an email copy of this form.
14. Email address

    This field is not part of the form submission.

15. Submit

* indicates a required field