Alarm Registration

HONESDALE BOROUGH
RESIDENTIAL/COMMERCIAL ALARM REGISTRATION
Forms must be filed within thirty (30) days of installation, including residents and any commercial property that have alarm systems at the present time. Please return the completed form along with $100.00 (prorated) annual registration fee to the following address: Honesdale Borough, 958 Main Street, Honesdale, PA 18431.
Name
Address
Mailing Address
Phone Number
Date of Installation

MonthDayYear
Date
Local or Monitored System
Burglary
Fire
Medical
Other
MONITORING COMPANY
Name
Address
Phone Number
CONRACT INFORMATION CONTACT #1
Name
Address
Phone Number
CONTACT #2
Name
Address
Phone Number
All forms that require payment will not be processed unless that form and payment is received at the Borough building.
Should be Empty:

HONESDALE BOROUGH