Alarm Registration Form

Print
Share & Bookmark, Press Enter to show all options, press Tab go to next option
Please correct the fields below:

Fairhope Police Department 
False Alarm Enforcement Unit 
107 North Section Stree1 
Fairhope, AL 36532 
(251) 928-2385 
REGISTRATION FORM

 

THIS FORM MUST BE UPDATED AND RETURNED EVEN IF NO MONEY IS OWED. YOUR REGISTRATION WILL BE CLOSED AND YOU MAY FORFEIT POLICE RESPONSE IF YOU FAIL TO DO SO. 

1

LOCATION OF ALARM

1. Name (Last, First or Business Name): 

2. Street Name // Apt/Suite:  

3. City, State, Zip: 

4. Phone 1 // Phone 2

LOCATION OF ALARM 1. Name (Last, First or Business Name): 2. Street Name // Apt/Suite: 3. City, State, Zip: 4. Phone 1 // Phone 2
2

RESP0NSIBLE PARTY 

1. Name (Last, First) 

2. Street Name // Apt/Suite

3. City, State, Zip

4. Phone 1 // Phone 2

RESP0NSIBLE PARTY 1. Name (Last, First) 2. Street Name // Apt/Suite 3. City, State, Zip 4. Phone 1 // Phone 2
3

CONTACT PERSON 1

1. Name (Last, First)

2. Street Name // Apt/Suite

3. City, State, Zip 

4. Phone 1 // Phone 2

CONTACT PERSON 1 1. Name (Last, First) 2. Street Name // Apt/Suite 3. City, State, Zip 4. Phone 1 // Phone 2
4

CONTACT PERSON 2

1. Name (Last, First)

2. Street Name // Apt/Suite

3. City, State, Zip 

4. Phone 1 // Phone 2

CONTACT PERSON 2 1. Name (Last, First) 2. Street Name // Apt/Suite 3. City, State, Zip 4. Phone 1 // Phone 2
5

SPECIAL CONDITIONS - Monitored By 

1. Company Name

2. Address

3. City, State, Zip

4. Phone 1 // Phone 2

 

SPECIAL CONDITIONS - Monitored By 1. Company Name 2. Address 3. City, State, Zip 4. Phone 1 // Phone 2
6

SPECIAL CONDITIONS - Installed By

1. Company Name

2. Address

3. City, State, Zip

4. Phone 1 // Phone 2

SPECIAL CONDITIONS - Installed By 1. Company Name 2. Address 3. City, State, Zip 4. Phone 1 // Phone 2
7

I do hereby solemnly swear that the aforementioned information is correct to the best of my knowledge.

 

 

I do hereby solemnly swear that the aforementioned information is correct to the best of my knowledge.
  1. To receive a copy of your submission, please fill out your email address below and submit.