Middletown Police Department
Name:________________________________________
Address:______________________________________
_____________________________________________
Phone:_______________________________________
Cell Phone:___________________________________
(Required)
Email:_____
___________________________________
Alarm Company:_______________________________
Policy #:______________________________________
Alarm Company Phone Number:__________________
Middletown Police
Department
130 Hampden Road
Town of Middletown
Delaware, 19709
Phone:
302-376-9950
Fax:
302-376-9952
Website:
www.middletownpd.us
Please Fill out the information below and return to the Middletown Police
Department. There is no fee to register. There are fines if you do not register.
You may view the fine schedule on our Web site:
www.middletownpd.us
Residential Property
Contact person e-mail:
Brenda Mayo; BMayo@ Middletown.Delaware.Gov
Sign Up Now
Alarm Registration
Please list at least three (3). Provide a valid contact number for each.
1. Name:____________________________________________________________
Contact Number:__________________
2. Name:____________________________________________________________
Contact Number:__________________
3. Name:____________________________________________________________
Contact Number:__________________
Emergency Contacts