Online Registration Form

Online Alarm Registration Form

Fields marked are required.

Type Permit Requested:

Alarm Use:

Permit Applicant Information

Business or HomeOwner Name: Required

Phone At Alarm Location: Required

Type Of Business Conducted:

Days And Hours Of Operation:

Email Address: Required

Do you want false alarm bills emailed?

Alarm Site Physical Address

Street Address: Required

Apt / Suite / Other:

City: Required

State:

Zip: Required

Applicant Information

Applicant Name: Required

(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. Required

I have received training from the alarm company in the proper use of my alarm system, including training in how to avoid false alarms Required

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. Required

Monitoring Company Information

Name: Required

Address:

City:

State:

Zip:

Phone: Required

Responsible Parties to be Notified (Note: Parties must be willing to respond 24/7 to any alarm issues)

Contact Name #1: Required

Phone #1: Required

Phone #2:

Contact Name #2: Required

Phone #1: Required

Phone #2:

Contact Name #3:

Phone #1:

Phone #2:

Comments or Special Circumstances:

Text Verification Required