Alarm Permit Application - Commercial

2. Commercial Alarm Permit Application Permit #

4. Please Check One Box Below*

   1. New Permit

   1. Renewal Permit

   1. Permit Changes

   1. Exempt

6. Name of Business

8. Physical Address of Alarm Site

10. City

11. State

12. Zip Code

14. Billing Address

16. City

17. State

18. Zip Code

20. Home Phone

21. Business Phone

22. Cell Phone

24. Email Address

28. Persons to Respond to Alarm

30. Name

31. Key HOlder

    1. Yes

    1. No

33. Home Phone

34. Business Phone

35. Cell Phone

37. Name

38. Key Holder

    1. Yes

    1. No

40. Home Phone

41. Business Phone

42. Cell Phone

46. Alarm Company

48. Name

49. Phone Number

51. Address

53. City

54. State

55. Zip Code

57. Please print the completed application, include the $50 permit fee and mail or drop off at the following address:

    Elgin Police Department, 202 Depot Avenue, Elgin, Texas 78621, 512-285-5757

    Elgin Police Department, 202 Depot Avenue, Elgin, Texas 78621, 512-285-5757

59. I have carefully read the complete application and know the same is true and correct and hereby agree that if a permit is issued, I will comply with all provisions of Ordinance #2010-07-20-11 and applicable State Laws. I accept responsibility for payment of all fees and fines resulting form operation of the alarm system serving the above residence.

    Signature of Permit Holder

61. Date

Leave This Blank:


62. Print Only

* indicates a required field