Alarm Registration

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	Title
	Printable Alarm Registration Form

Alarm Registration Form

York County does not issue permit numbers for alarm systems being registered. However, York County Ordinance requires all alarms be registered with the county.
Date
Alarm Location Address
Apt / Suite #
City
Zip
Business/Resident Name
Home Phone
Work Phone
Alternate Number
Mailing Address (if different)
Name of Power Company
Alarm Company Name
Alarm Company Phone
Type of Alarm	FireMedicalBurglar
Other Alarm Type
Name of Subdivsion/Office Complex
Emergency Contact #1 Name
Emergency Contact #1 Home Phone
Emergency Contact #1 Cell Phone
Emergency Contact #1 Work Phone
Emergency Contact #1 Other Phone
Emergency Contact #2 Name
Emergency Contact #2 Home Phone
Emergency Contact #2 Cell Phone
Emergency Contact #2 Work Phone
Emergency Contact #2 Other Phone
Emergency Contact #3 Name
Emergency Contact #3 Other Phone
Emergency Contact #3 Home Phone
Emergency Contact #3 Cell Phone
Emergency Contact #3 Work Phone
Brief Directions from Highway
Other Important Information