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Attention If you would like to submit this form in person or by mail, you can download a copy here.

Applicant Information:
Last Name First Name MI DOB (MM/DD/YYYY) Email

Business Name (if applicable)

Address of Alarm Location Unit #

Mailing Address (if different from alarm location)

Residential Phone Number Business Phone Number

Alarm Installer / Service Representative (Company) Address Phone #

Monitoring Company Address Phone #

Responsible Alarm Contacts (Three required, one can be you)
Full Name Address DOB Phone #s

Please Read Carefully before Submitting the Application

List above the responsible persons who (1) can respond to the alarm after notification, (2) are knowledgeable in the basic operation of the alarm system, and (3) are authorized and able to gain entry and secure the premises if required.

I have read the completed application and represent the same to be true and correct. I hereby agree that if a permit is issued, I will comply with all the provisions of the City ordinance and applicable State laws. I accept responsibility for all fees or fines that may result from the operation of the alarm system serving the above premises.


If you have any questions concerning the application, please contact the Spanish Fork Police Department at (801) 804-4700.

40 S. Main St., Spanish Fork, UT 84660  ·  (801) 804-4500 Facebook |  Twitter |  Instagram |  RSS Feed |  Policy & Disclaimer | Copyright @ 2000-2018
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