Local Emergency Contact Consent Form – Henry County, GA

The Local Emergency Contact Consent Form is the Henry County Tax Commissioner document in which the person an owner names as the 24-hour local emergency contact for a short-term rental acknowledges that role and consents to it.

The printed title is "Short-Term Rental Local Emergency Contact Consent Form," and the header carries the line "Receipts Page for Occupational Tax Calendar Year." The page collects the contact's name, address, 24-hour phone number, email and driver's license number, and it states that a copy of the driver's license must be attached.

The form quotes Sec. 3-3-202, which defines a local emergency contact as an individual other than the applicant, who resides within twenty (20) miles of the subject property and is designated by the owner/applicant to act as the owner's authorized agent if the owner has traveled outside of the immediate area or is otherwise unavailable. The contact should be reachable on a twenty-four-hour basis, have access to the short-term rental property, and be authorized by the owner to act in the owner's absence to address complaints, disturbances and emergencies.

In the acknowledgment, the contact agrees to be readily available to local emergency personnel 24 hours a day and to notify the Henry County Occupational Tax Department immediately after moving from a residence within 20 miles of the rental. The form is signed and dated by the contact.

Owners or applicants of a short-term rental in Henry County who designate a local emergency contact use this form, and the person they name completes and signs it. The signer is the local emergency contact, not the owner.

Conditions the form attaches to the contact:

• The contact must be an individual other than the applicant.
• The contact must reside within twenty (20) miles of the subject property.
• The contact must be designated by the owner/applicant to act as the owner's authorized agent when the owner has traveled outside of the immediate area or is otherwise unavailable.
• The contact should be reachable 24 hours a day, have access to the short-term rental property, and be authorized to address complaints, disturbances and emergencies in the owner's absence.
• The contact must provide a driver's license number and attach a copy of the driver's license.

A person who lives more than 20 miles from the property, or the applicant personally, does not meet the definition printed on the form.

Complete the form when an owner or applicant designates a local emergency contact for a short-term rental and that person agrees to serve. The form prints no due date of its own; its header refers to the "Occupational Tax Calendar Year."

A later duty is stated in the acknowledgment: if the contact moves from the current residence that is within 20 miles of the short-term rental, the contact must notify the Henry County Occupational Tax Department immediately. For timing questions about the occupational tax application the form belongs with, call the Business & Occupational Tax Division at 770.288.8180 Option 5.

The form prints no delivery channel of its own; its header gives the Henry County Tax Commissioner's contact details, and the agency's occupational tax forms page describes how applications are taken.

• Office: Henry County Tax Commissioner, 140 Henry Parkway, McDonough, GA 30253.
• Phone: 770.288.8180 Option 5.
• Website: www.henrycountytax.com.
• Appointments: the Tax Commissioner's Occupational Tax Forms page says applications are taken by appointment only, Monday through Friday, 8:30am till 11:00am and 2:30pm till 4:00pm, or online.

Attach a copy of the contact's driver's license, as the form requires. Call the Business & Occupational Tax Division to confirm how to deliver this form with your application. FillingPDF lets you fill out and download the PDF; submission follows the channels above.