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Alarm Registration

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ALARM REGISTRATION FORM
Account #
Complete all application items. Complete a separate application for each address to be permitted. Registration is MANDATORY but at no charge.
Alarm Location
Occupant Name or Business Name*
Phone #*
Address1*
Address2
City*
State*
Zip*
Email Address*
Mailing Address
Same as above
1. Same as above
Name*
Address1*
Address2
City*
State*
Zip*
Phone #1*
Phone #2
Phone #3
Phone #4
Contact Names
Contact 1*
Phone #1*
Phone #2
Contact 2
Phone #1
Phone #2
Contact 3
Phone #1
Phone #2
Additional Information
Date Installed/Activated
Date Installed/Activated
Audible
1. Audible
Special Conditions/ Hazards
Alarm Companies
Not Monitored
1. Not Monitored
Monitored By*
Phone #*
Installed by
Phone #
I understand that, in accordance with City Ordinance Title 7 Sec. 9-13 Alarm-Code, applicant is financially responsible for all charges and penalties specific in this section. Annual Alarm Site registration is MANDATORY on or before January 15 of each year!
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Digital Signature*
By typing your name, you agree with, and will comply with the above statement.
Date*
Date
NOTE: If information provided in application changes, you MUST notify City of Pueblo within fifteen (15) working days at:
PUEBLO POLICE DEPARTMENT ALARM ADMINISTRATOR
200 S. MAIN STREET
PUEBLO, CO 81003