Name
Alarm System Permit No.
Permitted Location Address
City of Riverside Invoice No.
Police Report Number (if applicable)
Reason for Appeal
Signature Date
Appeal Approved
Appeal Denied Comments
Alarm Enforcement Unit Signature Print Name Date
***Office Use Only***
RIVERSIDE POLICE DEPARTMENT
Alarm Enforcement Unit
False Alarm Appeal Form
Please return the completed appeal form to:
Riverside Police Department
Alarm Enforcement Unit
4102 Orange Street
Riverside, CA 92501
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signature
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signature
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