Glen Ridge Borough - Alarm Registration Form

Alarm Registration Form:
Notice:  Pursuant to Glen Ridge Municipal Code 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 Bureau
There 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:

          Primary Phone:

          Secondary Phone: ________________________________________

( ________ ) _________ - _________________

( ________ ) _________ - _________________

     2.  Name:

          Primary Phone:

          Secondary Phone: ________________________________________

( ________ ) _________ - _________________

( ________ ) _________ - _________________

Is there a key on file with the Police Department?
(optional service) _____ Yes _____ No

For Official Use Only

Date Received: ________________________________________

Date Entered:
________________________________________

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