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Alarm Permit Registration

  1. Permit Fee: $30
    Annual renewal applied to utility bill: $15

  2. Note:

    An incomplete form will delay your service start date.

  3. You do not need to enter city, state, or zip code.

  4. Please provide previous West University Address if you held a prior alarm permit. You do not need to enter city, state, or zip code.

  5. Alarm Use*

  6. Secondary Contact Information

  7. Commercial Information

  8. Emergency Contact Information : (required for resident/business)

    Other than the resident or business owner/manager, List two individuals who can respond to the alarm site, have access to the site and the code for disarming the alarm.

  9. Alarm System Information

  10. Types of Signals*

    Select all that apply

  11. Leave This Blank:

  12. This field is not part of the form submission.