SECURITY ALARM PERMIT APPLICATION
Required fields are marked with
*
Applicant's Name (or Business Name):
*
First Name:
*
Last Name:
*
Applicant's Address:
*
City:
*
State:
*
Zip:
Applicant's Mailing Address:
City:
State:
Zip:
Home Phone:
*
Cell Phone:
*
Email Address:
*
Drivers License:
*
State:
(2 letter Abbreviation)
List below 2 people with keys to your building and a working knowledge of your alarm system that could respond within thirty minutes to assist the police in resetting the alarm.
Alternate Name
Alternate Home #
Alternate Work/Cell#
2nd Alternate Name
2nd Alternate Home #
2nd Alternate Work/Cell #
