| Alarm Registration Form:
Notice: Pursuant to Glen Ridge Municipal Code 8.04.050:
Alarm registration forms must be completed and returned to the Glen Ridge Police Department Record Bureau by April 15 of each year. Failure to register could incur fines up to $500.00.
Please return to:
Glen Ridge Police Department
3 Herman Street
Glen Ridge, NJ 07028
Attention: Records Bureau
There is no charge for this registration.
Address of Business or Dwelling: __________________________________________________
| Primary Phone Number: |
( ________ ) _________ – _________________
|
| Owner or Operator Name: |
________________________________________
|
| Alarm Company Name: |
________________________________________
|
| Alarm Company Address: |
________________________________________
|
| Alarm Company Phone Number: |
( ________ ) _________ – _________________
|
| Emergency Contacts or Key Holders: |
|
|
1. Name:
Primary Phone:
Secondary Phone: |
________________________________________
( ________ ) _________ – _________________
( ________ ) _________ – _________________
|
|
2. Name:
Primary Phone:
Secondary Phone: |
________________________________________
( ________ ) _________ – _________________
( ________ ) _________ – _________________
|
Is there a key on file with the Police Department?
(optional service) |
_____ Yes _____ No |
|
For Official Use Only
Date Received: |
________________________________________ |
| Date Entered: |
________________________________________
PIN |
|
