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CodeRed Emergency Notification - Remove Me

Please correct the field(s) marked in red below:

Please use this online form to submit your request to be removed from the CodeRED system. We also offer a form which can be mailed. Print Form to Submit by Mail

United States Postal Mail Option

If you do not wish to use the online submission you can print and return the release form to:

Palm Bay Police Department - CodeRED
130 Malabar Road
Palm Bay, FL 32907
CodeRED Do Not Call Release Form

  • I am aware that the City of Palm Bay has subscribed to an alert system known as CodeRED.  The City of Palm Bay may use the alert system to communicate with the public in cases where prompt notice to protect life, health or property is advantageous.
  • I acknowledge that the alert system known as CodeRED is a service provided to residents by the City of Palm Bay.
  • As such, the City of Palm Bay, its officers, agents and employees enjoy immunity when providing the CodeRED alert system services.
  • I choose to be placed on the DO NOT CALL list for all CodeRED alerts issued by the City of Palm Bay.  By submitting this release, I waive all claims against the City of Palm Bay and CodeRED, their officers, agents and employees in the event that members of my household, my property or myself are adversely affected in the absence of timely notice of any event.

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First Name
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Last Name
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Address
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City
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State
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Zip
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Home Phone
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Cell Phone
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Additional Numbers
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Email
 *
All information provided becomes a matter of Public Record and is available upon request. Read Legal Disclaimer for additional information.
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