ALARM PERMIT APPLICATION
Applicant Name: Phone:
Business Name: _________________________________________________________________
Mailing Address:
Apt/Suite______ City: State: Zip Code:
Alarm Location (if different from above):
Emergency Contact Information
PLEASE PROVIDE THREE (3) NAMES AND PHONE NUMBERS of persons who can respond to an alarm
to grant access and deactivate the alarm.
A. Name: Phone:
B. Name: Phone:
C. Name: Phone:
Alarm Company Information
Name: Phone:
Address:
Apt/Suite______ City: State: Zip Code:
Alarm Monitoring Company Information (if different than Alarm Company)
Name: Phone:
Address:
Apt/Suite______ City: State: Zip Code:
Alarm Information
Alarm Type: Residential Commercial - Type of business: ________________________________
Date of Installation/Conversion/Takeover: _______________________
Dangerous/Special Conditions at Location: ___________________________________________________
Alarm Connection Type: (Check all that apply)
Local Signal (Alarm sounds at location) Alarm sounds at a monitoring station
Alarm System Type: ***Permit Fee Must Accompany This Application***
Burglary $10.00 fee
Robbery (Panic type alarm) $10.00 fee
Both Burglary & Robbery Alarm Systems $20.00 fee
Residents who are over 65, or have a disability, or have been awarded funds for the installation of an
alarm system by the Delaware Victim's Compensation Assistance program are exempt from the
registration fee. If over 65, please provide your date of birth here: ________________________
By signing this application, the applicant hereby certifies the following:
1. The applicant has been provided a set of written operating instructions for the alarm system, including
written guidelines on how to avoid false alarms, by the alarm installation company; and
2. The alarm installation company has trained the applicant in proper use of the alarm system, including
providing instructions on how to avoid false alarms.
The applicant further acknowledges the following:
1. The Newark Police Department response to an alarm activation may be influenced by factors
including, but not limited to, the availability of police units, priority of calls, weather conditions,
traffic conditions, emergency conditions, staffing levels and prior false alarm history;
2. Any false statement of a material fact made by an applicant for the purpose of obtaining an alarm
registration shall be sufficient cause for refusal to issue or revocation of a registration; and
3. An alarm registration cannot be transferred to another person or alarm site. An alarm user shall inform
the alarm administrator of any change that alters any of the information listed on the alarm registration
application within five business days of such change.
Signature: __________________________________________________ Date: _______________________
The entire alarm ordinance can be found at newarkde.gov under Government Municipal Code in Chapter 22 Article XIV
Do you have a surveillance camera system at your home or business?
Help us to help you in solving crime in the community. The Newark Police Department is a member
of the Ring Neighbors Portal. This portal allows the police to connect with the community by
posting requests for surveillance footage when a crime occurs in the area of your home or business.
The police DO NOT GET ACCESS TO YOUR CAMERA SYSTEM and we are only given video
footage if you choose to give it to us.
Please consider joining the portal by downloading the FREE Neighbors App by Ring from the
Apple App store or Google Play. You DO NOT need to have a Ring camera system to participate.
Mail completed application to: Newark Police
Department - Attn: Alarm Ordinance Coordinator
220 South Main St Newark, DE 19711
For additional
information, please contact Brian Cannon at (302) 366-7100, ext. 3104 or email bcannon@newark.de.us.
FOR OFFICE USE ONLY
Recd: Amt: Check # Recorded: Logged: Permit #:
***DO NOT SEND CASH***
Make checks payable to the City of Newark.
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