CITY OF EL MONTE
POLICE DEPARTMENT
ALARM PERMIT APPLICATION
(Please type or print in BLOCK CAPITAL LETTERS clearly inside the box.)
Application Type (check one)
Residential
Commercial
Update Existing Permit No.
Alarm Type (check all that apply) Burglary Robbery Audible
Alarm Street Address:
(Street Address)
Apt/Suite #
APPLICANT INFORMATION/ ALARM LOCATION
City: Zip: State:
Alarm Street Address:
(Street Address)
City: Zip: State:
Home Phone No:
Business Phone No:
Pager / Cell Phone No:
Property Owner Name:
Property Owner Address:
(Street Address)
City: Zip: State:
EMERGENCY CONTACTS – Who can we contact in case of emergency? (You must list at least two (2) contacts living 30 minutes or less away)
Contact Name #1:
Home Phone:
Contact Address:
Business Phone:
Pager / Cell Phone No:
Apt/Suite #
Apt/Suite #
ALARM COMPANY INFORMATION
Business/Resident Name:
(Last, First, Middle)
Company Name:
Address:
(Street Address)
City: Zip: State:
Apt/Suite #
Home Phone: State ID No:
Contact Name #2:
Home Phone:
Contact Address:
Business Phone:
Pager / Cell Phone No:
Applicant’s Title:
(check one)
Owner Tenant
I have received a copy of the El Monte City Ordinance pertaining to alarm systems. I certify under penalty of perjury that the information furnished is true to my best
belief. All alarm equipment meets the standards set forth in section 5.102.060. I am aware of the penalties associated with false alarms. Furthermore, I am aware that
if my alarm permit is revoked due to non-compliance of EMMC – Section 5.102.090, police response may be discontinued to any subsequent alarm calls at my address.
Print Name:
Date: / /
Signature of Applicant:
Annual Family Income
Size of Family
Low Income Senior Citizen
Disabled
Placard #
Honorable Discharged disabled veterans
Date of Birth:
/ /
(Proof may be required)
(
Only required for low income senior discount)
(Proof may be required)
