ALARM REGISTRATION FORM
Date of Application: FEE: $15.00 Residential/$35.00 Commercial
** All fees are non-refundable **
Name of Applicant:
Phone: Mandatory. # (24 hour point of contact) -
Address:
Check One: Residential Apartment Commercial
Classification of Alarm System: (Please check all that apply and state whether audible or silent)
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Burglary |
Holdup |
Duress |
Fire |
Medical Alert |
Other (specify) |
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Mailing address if different from alarm site:
Please list any dangerous or present conditions at alarm site:
Name of company installing and maintaining alarm:
Address:
Phone:
IN CASE OF EMERGENCY: LIST IN PRIORITY PERSONS TO CONTACT WITH A KEY
1.
2.
Apartments only: Name, address and phone # of apartment owner or property manager who can grant access to the apartment:
I have received a copy of Chapter 2.134 of Borough of Englishtown Code entitled “Alarm Systems” and have read it in its entirety. I am aware of the fines imposed for false alarms, and will comply with all rules and regulations set forth.
Initials
All Applications Expire on December 31st and must be renewed annually within thirty days of expiration date.
Date Received: Fee Collected: Cash Check #
Expiration Date:
Approval by Police Chief: Date:
CC: Police