Form Center

2. Sign Up for Direct Alarm Monitoring
4. Subscriber Name*
6. Email Address*
7. Phone Number*
9. Address*
11. Zip Code*
    -- Select One --7520575225
12. Property Type

    1. Residence
    2. Apartment / Condo
    3. Business
14. Password

    (A word or numbers you will provide the police dispatcher to verify authorized access to your property. Dispatch will accept any of the passwords for the location.)

16. Password (Additional Number 1)
17. Password (Additional Phone Number 2)

19. Contacts

21. Contact Name
22. Relationship to Contact
24. Email
25. Mobile Phone Number*
27. Type of Phone Number

    1. Home Phone Number
    2. Work Phone Number
28. Phone Number*
32. Contact 2 (Optional)
34. Contact Name
35. Relationship to Contact
37. Email
38. Mobile Phone Number
40. Type of Phone Number

    1. Work Phone Number
    2. Home Phone Number
41. Phone Number
45. Contact 3 (Optional)
47. Contact Name
48. Relationship to Contact
50. Email
51. Mobile Phone Number
53. Type of Phone Number

    1. Work Phone Number
    2. Home Phone Number
54. Phone Number
58. Contact 4 (Optional)
60. Contact Name
61. Relationship to Contact
63. Email
64. Mobile Phone Number
66. Type of Phone Number

    1. Work Phone Number
    2. Home Phone Number
67. Phone Number
71. Contact 5 (Optional)
73. Contact Name
74. Relationship to Contact
76. Email
77. Mobile Phone Number
79. Type of Phone Number

    1. Work Phone Number
    2. Home Phone Number
80. Phone Number
82. I Agree

    1. I Agree

    I have carefully read the completed application and know the same and true to be correct. I hereby agree that if a permit is used, I will comply with all the provisions of the City of University Park Ordinance. I understand that I will be responsible for payment of all fees and charges and any civil action which may arise from the operations of this alarm system.

    I have read and agree to the terms and conditions. View the False Alarm Notification Fees (PDF).

Leave This Blank:


84. 1. Receive an email copy of this form.
85. Email address

    This field is not part of the form submission.

86. Submit

* indicates a required field