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New
Renewal
Renewed
Not Renewed
New
Renewal
Resident or Business
Alarm Company
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
(937) 854-7200
{[AWEBSITE]}
Alarmed Location Information
Address
Registration Type
State
Start by typing the alarmed location address information
Permit For
{[CNAME]}
Address 2
ZIP
{[PNAME]}
City
General Instructions
Resident or Business
Alarm Company
Attachments & Certification
Permit Application Instructions:
Select Permit Type: Please choose the appropriate permit type from the dropdown menu provided.
Provide Information: Fill out all requested information accurately. Incomplete or false information may cause delays or rejection of your application.
Review City Ordinances: Familiarize yourself with relevant city ordinances governing alarm systems. By submitting this application, you agree to comply with all applicable regulations.
Renewal: Your permit must be renewed annually before January 31st. Failure to renew may result in expiration of your permit and penalties for operating without a valid permit. Details on renewal procedures will be provided upon approval.
Contact Us: If you have any questions or need assistance, please contact us at (937) 854-7200.
Compliance Agreement: By submitting this application, you acknowledge that you agree to comply with all applicable regulations regarding alarm system permits.
Resident
Business
Yes
No
Yes
No
Email
Alternate Phone #
Email
Name (First and Last)
Phone #
City, State, ZIP
Alarm User
Alarm User
If so, does it reset?
Emergency Contacts
Phone #
Alarm Company Name
Phone #
Address
Name (First and Last)
Does the alarm have an audible siren?
Alarm Information
Add Business
Yes
No
Yes
No
Yes
No
Yes
No
Alarm Company
Trade Name(s) Used During Previous Five (5) Years
License ever been revoked or suspended?
Alternate Phone #
Ever been denied a license?
Alarm Company Name
Email
Phone #
Are you registered with the Better Business Bureau? If So, What State?
Alarm Business Information
City, State, ZIP
Add Below Name(s) and Location(s) of Other Businesses Serviced by Alarm Company.
Email
Owner Name
Ever been convicted of a felony?
Phone #
How long has the applicant been engaged in the alarm business?
If answering Yes to any of the above questions, please explain
Street Address
Pay Now
Submit
Type Full Name :
Sign With Hand
Clear
Done
Fee
If there is any additional information you would like to provide, please attach here.
Fees
Type
Fee
Resident or Business
$0
Alarm Company
$225
Attachments
Signature
Certification
Email
City, State, ZIP
Phone #
Business Name
Address
Additional Business Serviced by Alarm Company
Save
Cancel
Your application has been submitted.
Date Entered:
Reference #:
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Provide the following information to locate last year's {[PNAME]} application.
Once you are finished, press Find My License, from there, you can update any information for the renewal application.
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Reference #
Permit #