Alarm Registration Form

Alarm User/Owner: Building or Premises Served:
Name
Address:
 
 Phone
Name
Address:
 
 Phone
Mailing Address (if different): Emergency Contact:
Name
Address:
 
Name
Phone
 Phone
Additional Emergency Contact: Alarm monitored by (if applicable):
Name
Phone
 Phone
Name
Organization
Work Phone

Please fill out the form then press the Print button to print it   Then sign and mail along with $30 permit fee to:

Vero Beach Police Department
C/O: Alarm Permit Applications
1055 20th Street
Vero Beach, Florida 32960

Alarm User  ___________________________Date: ____________