Search for the business address and select it from the drop-down.
- Contacts
- Business Details
- Business Employees
- Police Information
- Attachments & Certification
Approximate # of Daily Visitors
Medical Alarm?
Relayed to Police?
Alarms on Premises?
Contracted Company
Security Information
Describe Hazardous Material Type?
Trouble Alarm?
Describe the location of the X-Ray Equipment
Proper Nighttime Lighting?
If yes, Mention the Security Officer Full Name
Security Personnel Operating Hours
Address
Company Name
Are there security personnel on premises?
Hazardous Material?
Burglar Alarm?
Fire Alarm?
Phone #
Alarm Information
Describe Hazardous Material Location
Is there a Designated Security Officer?
Describe the location of Nighttime Lighting
X-Ray Equipment?
Police Related Information
Panic Alarm?
Relayed to Fire Department?
Is there an Emergency Generator?
I, the applicant, hereby certify that the information supplied herein is true and correct. I further certify that the business for which this application is being submitted complies with all applicable statues and regulations and all applicable ordinances. I understand that violation of any applicable statute, regulation, or ordinance may be grounds for revocation of the Business License for which this application is submitted. I further understand that if any information I have provided in this application is willfully false or misleading, I may be subject to denial of this application or revocation of the License for which this application is submitted.
Please attach the following documents:
1) Business & Insurance Registration Certificate.
Amount Due
Fee Schedule
Certification
Attachments
Applicant Signature