Form Builder

Required fields are marked with asterisks (*)


Please fill out the following information about your alarm. 

Permit Applicant and Address of Protected Premise

Permit - Non transferable to new address or owner/name

Please note: There is a fee for responding to a false alarm. 

Alarm System Details

Premise Details

Confidential for authorized police-use only

Contact People

Person available to secure premise in the event of a problem, other than those previously listed.