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20258 THE GAHANNA POLICE DEPARTMENT

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CITY OF GAHANNA
DIVISION OF POLICE
460 Rocky Fork Blvd.
Gahanna, OH 43230
(614)342-4240
ALARM REGISTRATION
RESIDENTIAL
ADDRESS ________________________________________________________________________
RESIDENT NAME __________________________________________________________________
HOME PHONE ___________________________ WORK PHONE _________________________
EMERGENCY CONTACT PERSONS
DO NOT LIST YOURSELF
NAME _________________________________________ PHONE _______________________
NAME _________________________________________ PHONE _______________________
ALARM COMPANY _______________________________ PHONE _______________________
PET INFORMATION ______________________________ OFFICER HAZARD?_______________
DO YOU HAVE ANY SECURITY CAMERAS? _____________ MANUFACTURER_________________
If a crime occurs in your neighborhood, would you be willing to be contacted and share your security
camera footage with police? _______________________
I agree to abide by the Alarm Ordinance, Rules and Regulations of the Gahanna Division of Police,
pertaining to alarm systems which regulate the installation, maintenance and operation of the alarm.
Copies of the Alarm Ordinance are available at Gahanna Police Department, 460 Rocky Fork Boulevard,
Gahanna, Ohio 43230.
I understand that the City of Gahanna shall not assume any liability whatsoever because of approval of
this registration for my residence. I agree that the City of Gahanna is not liable if an alarm registration is
cancelled per the Alarm Ordinance.
This alarm registration is not transferable.
I agree to pay all alarm fines as they are assessed, within thirty (30) days of the receipt of notice, sent
by the City of Gahanna. Failure to pay assessed fines may result in charges filed through Gahanna Mayor’s
Court.
NOTE: THERE IS A ONE-TIME CHARGE OF $35.00*
DOB (optional) _______________________________________ (Fee waived if over 60 years of age)
APPLICANT’S SIGNATURE ______________________________ DATE _____________________
*Payable to the City of Gahanna Police Department
Office Use Only
Permit #:
_________________
__
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CITY OF GAHANNA
DIVISION OF POLICE
460 Rocky Fork Boulevard
Gahanna, OH 43230
(614)342-4240
ALARM REGISTRATION
BUSINESS
ADDRESS _____________________________________________________________________
COMPANY NAME _______________________________________________________________
BUSINESS PHONE ____________________ BUSINESS HOURS__________________________
EMERGENCY CONTACT PERSONS
NAME ________________________________________ PHONE _______________________
NAME ________________________________________ PHONE _______________________
ALARM COMPANY ______________________________ PHONE _______________________
TYPE OF BUSINESS _____________________________ OFFICER HAZARD? ______________
(Guard dog, chemicals, etc.)
DOES THE PROPERTY HAVE SECURITY CAMERAS? ______ MANUFACTURER _______________
If a crime occurs in your vicinity, would you be willing to be contacted and share your security
camera footage with police? ________________
I agree to abide by the Alarm Ordinance, Rules and Regulations of the Gahanna Division of Police,
pertaining to alarm systems which regulate the installation, maintenance and operation of the alarm.
Copies of the Alarm Ordinance are available at Gahanna Police Department, 460 Rocky Fork Boulevard,
Gahanna, Ohio 43230.
I understand that the City of Gahanna shall not assume any liability whatsoever because of approval of
this registration for my residence. I agree that the City of Gahanna is not liable if an alarm registration is
cancelled per the Alarm Ordinance.
I agree to pay all alarm fines as they are assessed, within thirty (30) days of the receipt of notice, sent
by the City of Gahanna. Failure to pay assessed fines may result in charges filed through Gahanna Mayor’s
Court.
NOTE: THERE IS A ONE-TIME ALARM REGISTRATION FEE OF $35.00*
APPLICANT’S SIGNATURE ______________________________ DATE __________________
*Payable to the City of Gahanna Police Department
Office Use Only
Permit #:
___________________
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20258 THE GAHANNA POLICE DEPARTMENT

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Completed 12 July 2020

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