Business Alarm Registration

The Business Alarm Registration program allows law enforcement to contact business owners after normal business hours for any issues that may arise at the place of business. If there are ever any changes to the below information, please fill out a new form. Please do this as soon as possible so the best service can be provided. E-mail Notice Under Florida law, e-mail addresses are public record. If you do not want your e-mail address released in response to a public-record request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing. Thank you. Business Type Is this a Residential based business or Commercial based? Please choose one. Business Type Residential Commercial Business Name Business Address Business Phone Number Business Line Phone Number Business Hours Please list the day(s) the business is open and the hours of each day. Business Hours details Business Owner / Manager Contact Full Name O/M Cell Phone Number O/M Home Phone Number O/M Home Street Address O/M Home City, State and Zip Code Additional Contacts Please list three (3) people to be called in case of an emergency on weekends or after business hours. They should be listed in the order to be called. They should also have keys and access to the business. These names are required to be posted adjacent to the main entrance and visible from the exterior of the business. (Only on this form, please provide a residential contact address for these contacts, if for some reason we were not able to contact them by phone that we may send an officer to the physical residence. This will only be used in an extreme emergency, please do not give a P.O. Box). 1 Contact Full Name: 1st Contact Information Primary Phone Number: Secondary Phone Number: Home Street Address Home City, State and Zip code 2 Contact Full Name: 2nd Contact Information Primary Phone Number: Secondary Phone Number: Home Street Address Home City, State and Zip code 3 Contact Full Name: 3rd Contact Information Primary Phone Number: Secondary Phone Number: Home Street Address Home City, State and Zip code Does your business use a property management company? Does your business use a property management company? Yes No Property Management Contact Company Name Contact Person: Phone Number: Does your business have a security alarm? Does your business have a security alarm? Yes Security_No|No No Alarm Company Contact Notification Does the alarm service notify any of the above people? Owner, manager, one or multiple of the 3 provided alternate contacts. If yes, whom? Alarm Company Contact Notification Yes No Alarm Information Alarm Monitoring Company Name Alarm Company Address Alarm Company Phone Number Alarm Details Is the alarm? (Please select all that apply) Alarm Details Audible Silent Sonic Perimeter Robbery Burglary Fire Auto Reset Alarm Company Contact Notification Selections Alarm Company Contact Notification Selections Owner / Manager Contact 1 Contact 2 Contact 3 O/M Home Phone Number O/M Home Street Address O/M Home City, State and Zip Code Method of Notification Method of Notification Private Alarm Service Company relayed to Police Department Audible/Visual signal relayed by third party Premise Advisories Animals on site Animals on site Yes No Animal details Please provide more details, including type of animal(s), quantity, location and other useful information. Fenced areas Fenced areas Yes No Fence details Please provide more details. Hazardous materials Hazardous materials Yes No Hazardous details Please provide more details, including the type of materials and location. (Examples: fuel storage, natural gas, fertilizer storage, etc.) Safe on site Safe on site Yes No Safe details Please provide more details, including type and location. Weapons on site Weapons on site Yes No Weapon details Please provide more details, including type, quantity, location and if location is secured. After Hours Do you employ after hours services After Hours Yes No After Hours details Please provide more details. Examples: Security, Cleaning, Janitorial. Exterior Doors Number of exterior doors to building/dwelling Additional Information If you have any other advisories that the Police Department should be aware of to ensure you receive proper service please note them below. Final Detail Full Name Title Person who is responsible for this information: Verification check check I verify that all of the above information has been checked and is accurate E-mail me a copy of this form (optional) Enter your E-mail address Confirm your E-mail address This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. View PDF of Page