Alarm Registration Form

False Alarm Ordinance Form

Printing note: If you wish to have a completed, printed copy of this form, please print via your browser prior to clicking “submit”.

THIS FORM SHOULD NOT BE COMPLETED BY THE ALARM COMPANY. This form should be completed by the homeowner or business owner at the time of the registration.

- Business (include $30.00 registration fee*)
- Residential (residential alarm users are exempt from registration fee)
Alarm User or Business Name*
Your Email Address*
Business Hours of Operation
Alarmed Premises
Address*
Street Address Address Line 2 City State ZIP Code
Telephone*
Billing or Mailing Address
Address*
Street Address Address Line 2 Arlington State ZIP Code
Telephone*
Attention (name)*
First Last
Who should be contacted in case of an alarm?
Contact 1
Name*
First Last
Daytime Telephone*
Evening Telephone*
Contact 2
Name*
First Last
Daytime Telephone*
Evening Telephone*
Contact 3
Name
First Last
Daytime Telephone
Evening Telephone
Is this system monitored?*
- Yes
- No
Monitoring Alarm Company
Name*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Which alarm company installed this alarm?
Name*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Installation Date*
Does a security guard check the premises?*
- Yes
- No
Special or hazardous conditions?
Phone
This field is for validation purposes and should be left unchanged.

Alarmed Premises

Billing or Mailing Address

Who should be contacted in case of an alarm?

Contact 1

Contact 2

Contact 3

Monitoring Alarm Company

Which alarm company installed this alarm?