Alarm Permit Application
Please fill out this application after paying for your alarm permit (see previous page, this is required.) You will need to list contact persons along with their phone numbers in case your alarm is activated we will be able to contact them. A valid email address is also required.
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Email *
Alarm Type *
Address of Alarm Location *
Your Name (First & Last) *
Mailing Address (if different from alarm location)
Telephone Number
Alternate Number
Email Address
Business Name (If Residential, Leave Blank)
Business Phone
Responsible Alarm Contacts
Please list up to three (3) individuals that you trust and can respond to your residence within 30 minutes of notification. The responding person must be authorized and able to gain entry and charge of the premise, if necessary. The information provided will be kept in your Alarm Company database.
Contact 1 Full Name *
Contact 1 Telephone Number *
Contact 1 Alternate Phone
Contact 2 Full Name
Contact 2 Phone Number
Contact 2 Alternate Number
Contact  3 Full Name
Contact 3 Telephone Number
Contact 3 Alternate Phone
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