GLENDALE POLICE DEPARTMENT ALARM PERMIT APPLICATION
2
GLENDALE POLICE DEPARTMENT ALARM PERMIT APPLICATION Glendale Police Department Alarm Coordinator 6835 N 57 th Drive Glendale, AZ 85301 Application Type Choose Option > OFFICIAL USE ONLY PERMIT #: DATE ISSUED: THIS ALARM PERMIT APPLICATION CAN ALSO BE COMPLETED AT: www.glendaleaz.com/police ALARM LOCATION TYPE: Residential Business ALARM TYPE: Burglar / Perimeter Panic / Robbery BUSINESS NAME / NAME OF RESIDENT Doing Business As: ADDRESS OF ALARMED LOCATION Home / Business: Address: Building #: Suite #: City: Zip Code: Phone: Cell: Other: Email: MAILING INFORMATION IF DIFFERENT THAN ALARM LOCATION (Parent Co., P.O. Box, Corporate Address) Last Name: First Name: Address: Apt/Suite: City: State: Zip Code: IF YOU PREFER TO RECEIVE CORRESPONDENCE VIA EMAIL, PLEASE PROVIDE EMAIL ADDRESS Email: Installed/Serviced By: Phone: Monitored By: Phone: RESPONSIBLE REPRESENTATIVE / CONTACT INFORMATION List 2 responsible representatives (other than applicant) who will respond to an alarm activation within 30 minutes to assist the Glendale Police Department in determining the cause of the alarm activation and to secure the premises. 1. Last Name: First Name: Position / Relationship: Phone: Cell: 2. Last Name: First Name: Position / Relationship: Phone: Cell: Authorized Signature: Glendale Alarm Coordinator: (623) 930-2466 Email: [email protected]
Transcript of GLENDALE POLICE DEPARTMENT ALARM PERMIT APPLICATION
GLENDALE POLICE DEPARTMENT ALARM PERMIT APPLICATION
Glendale Police Department Alarm Coordinator 6835 N 57th Drive
Glendale, AZ 85301
Application Type Choose Option >
OFFICIAL USE ONLY
PERMIT #:
DATE ISSUED:
THIS ALARM PERMIT APPLICATION CAN ALSO BE COMPLETED AT: www.glendaleaz.com/police ALARM LOCATION TYPE: Residential Business
ALARM TYPE: Burglar / Perimeter Panic / Robbery
BUSINESS NAME / NAME OF RESIDENT Doing Business As:
ADDRESS OF ALARMED LOCATION Home / Business:
Address: Building #:
Suite #:
City: Zip Code:
Phone: Cell: Other: Email:
MAILING INFORMATION IF DIFFERENT THAN ALARM LOCATION (Parent Co., P.O. Box, Corporate Address) Last Name: First Name:
Address: Apt/Suite:
City: State: Zip Code:
IF YOU PREFER TO RECEIVE CORRESPONDENCE VIA EMAIL, PLEASE PROVIDE EMAIL ADDRESS Email:
Installed/Serviced By: Phone:
Monitored By: Phone:
RESPONSIBLE REPRESENTATIVE / CONTACT INFORMATION List 2 responsible representatives (other than applicant) who will respond to an alarm activation within 30 minutes to
assist the Glendale Police Department in determining the cause of the alarm activation and to secure the premises.
1. Last Name: First Name: Position / Relationship:
Phone: Cell:
2. Last Name: First Name: Position / Relationship:
Phone: Cell:
Authorized Signature:
Glendale Alarm Coordinator: (623) 930-2466 Email: [email protected]
