Form Center

2. BUSINESS INFORMATION

   Please provide the following information when registering a residential alarm system with the Bel Air Police Department. Alarm systems are governed by Town Code, Chapter 122. 

4. Resident Name
5. Resident Phone
7. Street Number
8. Suite Number
9. Street Name
11. City
12. State
13. Zip Code
15. Emergency Contact 1
16. Emergency Contact 2
17. Emergency Contact 3
19. Home Phone
20. Home Phone
21. Home Phone
23. Cell Phone
24. Cell Phone
25. Cell Phone
27. Email
28. Email
29. Email
31. Alarm Monitoring Service Company
32. Alarm Company Phone Number
34. Type of Alarm Device
36. Location of alarm device(s)
38. Special Precautions / Hazards, Additional Information
Leave This Blank:


40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit Submit and Print

* indicates a required field