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Alarm Registration Form

Steps

  1. 1. Step One
  2. 2. Applicant Information
  3. 3. Employer Information
  4. 4. Emergency Contacts
  5. 5. Alarm Company
  6. 6. Further Information
  • Step One

    1. “The information contained in this application is true and correct as of the date of this application. I will inform the City of Junction City promptly of any changes. I shall comply with all provisions of the Alarms Chapter of the Code of the City of Junction City and all applicable laws of the State of Kansas. I accept responsibility for all fines and fees that may result from the operation of the alarm system for the premises named in this application and shall pay all cost, expenses and attorney’s fees incurred or paid by the City of Junction City for the collection of such fines or fees.”

    2. Confidentiality

      Alarm system locations, types of systems, and the names of occupants at permitted locations are confidential information. This information will not be disclosed to others.

    3. Please complete the registration form completely.

    4. Alarm Type

    5. Registration Type

    6. Monitored by: