Office Use Only: Date Entered: By:
Cambridge Emergency
Communications Department
125 Sixth Street, Cambridge MA 02142
Phone: (617) 349-6911 Fax: (617) 349-6918
Christina Giacobbe
Director of Emergency
Communications and 911
Louis A. DePasquale
City Manager
Emergency Contact Information/RAVE Facility Worksheet
City of Cambridge Emergency Communications
The Cambridge Emergency Communications Department receives all 911 calls and dispatches Police,
Fire, and EMS to emergencies in the city. In the event of an emergency after business hours, we may need to
quickly contact a business owner, manager, or other authorized person who can respond with keys to a
property, reset a ringing alarm, provide helpful information, represent an owner's interests, or secure the
property after a fire or break-in.
Please fill-in the information below, providing us with at least two contact names so that a notification
can always be made. The contact information will be kept confidential in the Emergency Communications
Center and only used for notification purposes by the Emergency Communications Department and/or Police or
Fire personnel. Additionally, we use this information to create a Rave Facility profile for your business. Rave
Facility is a secure database which allows us to view your business name and any other information that you
choose to provide if a call were to originate from your business’ address. This helps to protect everyone in the
business, from employees to owners to customers.
BUSINESS NAME: __________________________________________________________________
FULL ADDRESS: ___________________________________________________________________
PHONE: ________________________________ EMAIL: ___________________________________
TYPE OF BUSINESS: _______________________________________________________________
WHAT DID YOU WANT TO BE WHEN YOU GREW UP? ______________________________
(security question)
1. Last Name: ____________________________ First Name: ______________________________
Address: _____________________________________ City: ______________________________
Phone: _____________________________ Email: ______________________________________
2. Last Name: ____________________________ First Name: ______________________________
Address: ______________________________________ City: _____________________________
Phone: _____________________________ Email: ______________________________________
3. Last Name: ____________________________ First Name: ______________________________
Address: ______________________________________ City: _____________________________
Phone: _____________________________ Email: ______________________________________
Person Completing Form: ____________________________________ Date: __________________
City of Cambridge
Business Certificate Additional Questions
The City of Cambridge Community Development Department is interested in learning more
about your business so we can better assist you. Please take a few moments to provide some
additional information. These questions are optional and not required in order to receive a
business certificate.
1. Is your business a:
Women Business Enterprise (WBE) and/or Minority Business Enterprise (MBE)
2. Would you like to be registered as a vendor with the City of Cambridge? The Vendor
Registry provides an opportunity for local and state vendors to participate in the
procurement of goods and services. When the City solicits a bid for your commodity or
service your company will be sent notification of the bid. Once registered, your company
will be sent notification of bids.
Yes, I would like to be registered. No, I am not interested at this time.
3. Economic Development Division E-newsletter. If you would like to receive a monthly
electronic newsletter from the city about news, workshops, and grant programs for small
businesses, please provide your email address here to be registered for the
Business email address: ________________________________