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Online Alarm Registration Form

Fields marked * are required.

  Type Permit Requested:
  Alarm Use:
    
Permit Applicant Information
* Business or Homeowner Name:
* Email:
  Type of business conducted:
  Days and Hours of Operation:
* Phone at Alarm Location:
Alarm Site Physical Address
* Street Address:
  Suite or Apartment #:
* City, State:
* Zip:
Applicant Information
* Applicant Name:
  (Mailing Address If Different From Above):
  City, State:
  Zip:
  Any dangerous or special conditions present at the alarm site:
Alarm System Information (You must check all boxes for alarm registration to be valid):
* I have been given written operating instructions for the alarm system, including written guidelines on how to avoid false alarms.
* I have received training from the alarm company in the proper use of my alarm system, including training in how to avoid false alarms.
* I understand that law enforcement response may be based on factors such as availability of Police units, priority of calls, weather conditions, emergency conditions, staffing levels, etc.
Monitoring Company Information
* Name:
  Street:
  City, State:
  Zip:
  Phone:
Responsible Parties to be Notified (Note: Parties must be willing to respond 24/7 to any alarm issues)
* Contact Name #1:
* Home Phone #1:
* Work Phone #1:
  Cell/Pager Phone #1:
* Contact Name #2:
* Home Phone #2:
* Work Phone #2:
  Cell/Pager Phone #2:
  Contact Name #3:
  Home Phone #3:
  Work Phone #3:
  Cell/Pager Phone #3:
  Comments or Special Circumstances:

Verification:

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