Finance Department
155 Deer Hill Avenue
Danbury, Connecticut 06810
(203) 797-4652
City of Danbury Alarm Registration Form
Registration Type:
New Renewal
Use:
Single Family Multi-Family Commercial Industrial
Alarm Address Information
Name:
Street Address:
Suite or Apartment #:
City, State
Zip Code:
Business Information
Type of Business :
Days/Hours of Operation:
On Site Telephone # :
Alarm User Information
Manager/ User Name:
Mailing Address:
City, State:
Zip Code:
24/7 Key Holder Contact Information
1
st
Contact Name, City:
Telephone Number:
Daytime: After Hours
2
nd
Contact Name, City:
Telephone Number:
Daytime: After Hours
3
rd
Contact Name, City:
Telephone Number:
Daytime: After Hours
Alarm Installation Company Information
Installed by:
Street Address:
City, State Zip Code:
Telephone Number:
Check all items that apply to this system
Telephone Dialer Burglary
Central Station Hold Up
Audible Panic Button
Silent Smoke Detectors
Other Heat Detectors
Alarm has an Exterior Alarm Alarm Automatically Resets
Alarm System Features:
Alarm Panel Location:
Alarm Monitoring Company Information
Company Name:
Street Address:
City, State Zip Code:
Daytime Telephone:
24 Hour Number:
For City of Danbury Use
Registration #:
Expiration Date:
Tax Exempt Number:
Fee Paid:
Residential Non-Residential
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