Alarm Permit Application

Alarm Permit Application
Attention: If you would like to submit this form in person or by mail, you can download a copy here.
Applicant Name*

First NameMILast Name
DOB*

MonthDayYear
Date
Applicant Email*
example@example.com
Business Name (if applicable)
Address of Alarm Location*

Street Address

Unit #

CityState / Province

Postal / Zip Code
Mailing Address (if different from alarm location)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Residential Phone

Area CodePhone Number
Business Phone

Area CodePhone Number
Alarm Installer / Service Representative Info
Alarm Installer / Service Representative (Company)
Installer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Installer Phone

Area CodePhone Number
Monitoring Company Info
Company Name
Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Company Phone

Area CodePhone Number
Responsible Alarm Contacts

(Three contacts required, one can be you)
Contact 1 Name*

First NameLast Name
Contact 1 Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact 1 DOB*

MonthDayYear
Date
Contact 1 Phone #*

Area CodePhone Number
Secondary Phone #

Area CodePhone Number
Contact 2 Name*

First NameLast Name
Contact 2 Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact 2 DOB*

MonthDayYear
Date
Contact 2 Phone #*

Area CodePhone Number
Secondary Phone #

Area CodePhone Number
Contact 3 Name*

First NameLast Name
Contact 3 Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact 3 DOB*

MonthDayYear
Date
Contact 3 Phone #*

Area CodePhone Number
Secondary Phone #

Area CodePhone Number
List above the responsible persons who (1) can respond to the alarm after notification, (2) are knowledgeable in the basic operation of the alarm system, and (3) are authorized and able to gain entry and secure the premises if required.
I have read the completed application and represent the same to be true and correct. I hereby agree that if a permit is issued, I will comply with all the provisions of the City ordinance and applicable State laws. I accept responsibility for all fees or fines that may result from the operation of the alarm system serving the above premises.*

Clear
If you have any questions concerning the application, please contact the Spanish Fork Police Department at (801) 804-4700.
Should be Empty:

Alarm Permit Application

Alarm Installer / Service Representative Info

Monitoring Company Info

Responsible Alarm Contacts