NR CAER UpdateLine contact

Registration:

Please fill out the form below, print and fax to the NR CAER office at 780-497-7404.
Once we receive the form at the Northeast Region Community Awareness Emergency Response Office, we call you to verify the data and then add your information to our regional contact list.

Name:

Street Address:

City / Town:

Province:

Postal Code:

Rural residents only:

The more information you provide, the easier it is to locate your residence on our map and contact you if necessary.

Civic address (e.g. 55305 Range Road 214)

If you do not have a civic address, please provide the legal land description of your residence.
(e.g. NE 7-53-14-W5)

AND

The lot / block / plan for your property
(e.g. Lot 7, Block 3, Plan 8220786)

Telephone numbers
Each household can have two telephone contact numbers. Please list your home number and an alternate number if applicable. In all cases both numbers will be contacts.
Home number

Alternate number

The personal information is being collected under the authority of Section 33(c) of the Freedom of Information and Protection of Privacy Act, will be treated in accordance with the privacy protection provisions of Part 2 and will be used to contact you in the event of a serious incident.

Northeast Region CAER
Suite 1240, Sun Life Place
10123 99 Street
Edmonton AB T5J 3H1
Phone 780-424-0162
©2003