NYS Alert Notification Submission Form

NY-Alert Request for SUNY Geneseo Affiliated Person

NY-ALERT is an emergency alert system established by the New York State Emergency Management Office (SEMO). NY-ALERT is designed to send notifications through email, phone (traditional, VOIP or cell), text messaging (cell or pager) or fax in situations where your personal safety may be at risk.

The information entered below will be submitted to the SUNY Emergency Contact Information System. This information will be used in conjunction with the New York State All-Hazards Alert and Notification web-based portal and the New York State Emergency Management Office (SEMO).

Note: Emergency contact information is collected and provided only for mass emergency notifications by authorized SUNY Geneseo management.

Please allow two weeks from submission to be added to the NY-Alert system.

Please fill in all required fields (those marked with an asterisk(*))

   Affiliation with Geneseo (choose one
*
)

Please fill in all Supervisor/Contractor Information
CAS
Supervisor:  
Supervisor Phone:  


SUNY Geneseo Federal Credit Union
Supervisor:  
Supervisor Phone:  


Holcomb or Doty Tenant
Supervisor:  
Supervisor Phone:  


On-site Contractor
Contractor Name:  
Contractor Phone:  
Work Location:  
On Campus Until:


Other:
Supervisor:  
Supervisor Phone:  


   Personal Information

First Name (required)
*
:

Last Name (required)
*
:

E-Mail address (required)
*
:

Invalid E-mail Address

Phone Number #1 (optional) Include area code:

Phone Number #2 (optional) Include area code:

Text Message Number (optional) include area code :
Must Include both Text Number and Provider

Fax Number (optional) Include area code:


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Please notify SUNY Geneseo (585) 245-5663 or email at rowe@geneseo.edu if your affiliation changes.