The Borough of Madison, along with the Office of Emergency Management (OEM), are updating our records. Please complete this form which we will use to help serve you better in the event of a prolonged power outage or other local emergency. These records are only for Police, Fire and EMS.
In order to maintain an accurate database, previous records (submissions) will be purged.
Blank forms that are submitted will be uploaded to your account for record, but are not necessary to be completed if you do not require any/all of the selections on the form.
Please note that these forms are specific to Madison, NJ residents ONLY. Residents outside of Madison are encouraged to contact their local Office of Emergency Management.
Fill out the form online here.
Fill out the form as a PDF here.
Completed forms can be mailed in with your utility bill, dropped off at Borough Hall or emailed to BoardmanF@rosenet.org
Questions? All questions can be directed to Fran Boardman at 973-593-3060, option #1 or BoardmanF@rosenet.org
This form and any information contained herein is intended solely for the use by the Borough of Madison. Notwithstanding its limited purpose, the contents of this form may be subject to the provisions of the New Jersey Open Public Records Act (“OPRA”). Any personal information contained within this form that may violate an individual’s “reasonable expectation of privacy” (including but not limited to home addresses, telephone numbers, and/or e-mail addresses) will be redacted in accordance with applicable law.