Alarm Registration Form: Notice: Pursuant to Borough Ordinance 8.04.050:
Alarm registration forms must be completed and returned to the Glen Ridge Police Department Record Bureau by April 15 of each year. Failure to register could incur fines up to $500.00.Please return to:
Glen Ridge Police Department
3 Herman Street
Glen Ridge, NJ 07028
Attention: Records BureauThere is no charge for this registration.
Address of Business or Dwelling: __________________________________________________
Primary Phone Number: ( ________ ) _________ - _________________
Owner or Operator Name: ________________________________________
Alarm Company Name: ________________________________________
Alarm Company Address: ________________________________________
Alarm Company Phone Number: ( ________ ) _________ - _________________
Emergency Contacts or Key Holders:
1. Name:
Address:
Phone:________________________________________
________________________________________
( ________ ) _________ - _________________
2. Name:
Address:
Phone:________________________________________
________________________________________
( ________ ) _________ - _________________
3. Name:
Address:
Phone:________________________________________
________________________________________
( ________ ) _________ - _________________
Is there a key on file with the Police Department?
(optional service)_____ Yes _____ No
For Official Use Only
Date Received:________________________________________
Date Entered:
________________________________________
PIN