BURGLAR / FIRE ALARM REGISTRATION
****REGISTERED EACH YEAR BY DECEMBER 31
ST
****
Alarm Type: [ ] Burglar [ ] Fire
[ ] $30.00 Residential Alarm Registration
[ ] $100.00 Commercial Burglar Alarm Panel / Panic Button Registration
[ ] $100.00 Commercial Fire Alarm Panel Registration
PAYMENT AND APPLICATION CAN BE MAILED OR PAID FOR IN PERSON:
City of Stafford – City Hall, 2610 South Main Street, Attn: Finance Dept., Stafford, TX 77477
(281) 261-3914
Make Check Payable to: CITY OF STAFFORD
*****Mailed Payments must include completed application*****
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**BUSINESS or RESIDENTAL NAME: Telephone:
Street Address: Suite/Apt./Unit:
City/State/Zip Code:
Owner of Property: (If you are a Resident renting the property you are living at)
Owners Name & Phone Number:
**Mailing Information:
(If different from above to return alarm certificate):
Name: ____________________________________________Telephone #_________________________
Street Address: ________________________________________________________________________
City: ____________________________State: __________________________Zip code: _____________
**Emergency Contact Information: Must be able to respond and grant access to the location within 1 hour.
Contact Name #1: Telephone:
Street Address: City/State/Zip Code:
Contact Name #2: Telephone:
Street Address: City/State/Zip Code:
**Alarm Company Information: If alarm is monitored by two different alarm companies indicate both company names:
Burglar Alarm Company: Telephone:
Fire Alarm Company: Telephone:
For Office Use Only Permit Expires December 31 ____________
Payment Type: Cash / Check / CC Amount: Receipt No: Alarm Permit #
Check/CC #: Date Received: ________ Accepted by: Mail:
FOR PAYMENT ON-LINE PLEASE CLICK HERE: https://certifiedpayments.net/index.aspx?BureauCode=4230396
Email Completed Form to: ar@staffordtx.gov with online payment
