Forms

2. Alarm User Permit Form
   The Flagstaff City Council adopted Alarm Ordinance, #1552, authorizing the addition of title 6, chapter 8, relating to and regulating alarms on March 1, 1988. There are some items that you need to be aware of as highlighted below. Alarm definitions: “Alarm” or “Alarm System” means any device designed or used for the purpose of alerting and summoning police services or equipment to the scene of a burglary, robbery, or other serious criminal act to which they are needed or expected to respond.
4. Individual/Personal (for home alarms)
6. First Name
7. Last Name
9. Date of Birth
10. Email Address
12. Address1
14. Address2
16. City
17. State
18. Zip
20. Owner 1 Phone Number
    Home
21. Owner 1 Phone Number
    Cell
22. Owner 1 Phone Number
    Work
24. Owner 2 Phone Number
    Home
25. Owner 2 Phone Number
    Cell
26. Owner 2 Phone Number
    Work
28. Mailing Address (if different from above)
32. Alarm Information
34. Type of Alarm

    Please select what type of alarm you have:

    1. Burglary
    2. Robbery
    3. Panic
    4. Fire
35. Alarm Service Name
36. Date of Installation
    Date of Installation
37. Phone Number
41. Person to Contact during Alarm Activation (3 persons are required) See #9 on Back of Application
43. 1. Name
44. Date of Birth
45. Mobile Number
47. Email Address
49. 2. Name
50. Date of Birth
51. Mobile Number
53. Email Address
55. 3. Name
56. Date of Birth
57. Mobile Number
59. Email Address
63. Applicant Signature
    The parties acknowledge and agree that this application may be executed by electronic signature, which shall be considered as an original signature for all purposes and shall have the same force and effect as an original signature.
64. Printed Name
65. Date and time
    Date and time
67. Apply and Pay Online:

    After completing this application, select "Submit" at the bottom of the form.  Selecting "Submit" automatically emails the Application to the Alarm Coordinator.  

    After selecting "Submit",  you will be automatically redirected to the payment page, where you can complete the $10.00 Alarm Permit Fee payment online.

    
    

68. Apply and Pay By Mail:

    After completing this application, select the "Submit and Print" option at the bottom of the form.  Print and mail the application and a $10.00 check for the Alarm Permit Fee to:  
    
    Flagstaff Police Department
    911 E. Sawmill Road
    Flagstaff, AZ 86001
    ATTN: ALARM COORDINATOR

    ***You may close all browser windows after printing the application.  Please DO NOT complete the online payment if you intend to mail a check.  Thank you!

72. For Official Purposes Only:
    Please do not complete this area, to be completed by Alarm Coordinator.
73. Received on
74. Permit Number
76. Data Entry Notes for Alarm Coordinator
80. 1. Every alarm user shall obtain an alarm user’s permit from the Flagstaff Police Department for each location an alarm system is installed in. A permit would be granted upon receipt of a completed application and a paid receipt from the City of Flagstaff for the ten dollar ($10.00) fee for each permit. Permits are not transferable from one user to another or from one address to another.
82. 2. If the residential alarm user is handicapped (having a permanent physical impairment, defect, or disability) or is over the age of 65 and is the primary resident of the residence, a user’s permit may be obtained from the Coordinator’s office without the payment of a fee.
84. 3. An alarm user which is a governmental unit shall be subject to this article and shall be required to obtain a permit, but a permit shall be issued without payment of the fee.
86. 4. A permit issued by the City shall be physically on the premises using the alarm and shall be available for inspection by the Alarm Coordinator.
88. 5. The alarm user or permittee is required to notify the Alarm Coordinator of any changes in the information contained in the application or permit, and if the alarm is no longer being used, within ten (10) days after the effective date of such change. All information contained in the application is confidential.
90. 6. Audible alarms shall not emit sound longer than fifteen (15) minutes for residential alarms and thirty (30) minutes for commercial alarms.
92. 7. When three (3) or more false alarms occur by an alarm within a 12 month period, the user will submit a False Alarm Prevention Report, on a form provided by the City, to the Coordinator outlining the action taken by the user to prevent further false alarms. The False Alarm Prevention Report shall be returned to the Coordinator within thirty (30) days and will outline the actions taken to discover and eliminate the cause of the false alarms and any violations of this Ordinance.
94. 8. Any alarm or alarm system deemed or declared a nuisance (3 or more false alarms within a 12 month period) shall not require police personnel or equipment to respond to the alarm’s location unless notified by means other than that resulting from the alarm system that criminal activity or another emergency actually exists.
95. 9. If neither the alarm user nor a listed responsible party or their alarm company can be contacted, refuses to respond, or does not respond as provided above, the user shall pay a one-hundred ($100.00) dollar fee.
97. 10. The sixth (6th) and any subsequent false alarms set off by an alarm in a 12 month period shall be considered excessive false alarms and subject to a minimal penalty fee(s) as follows:
98. Fines

    1. 0-5 No Fine
    2. 6 $25.00
    3. 7 $50.00
    4. 8 plus $100
Leave This Blank:


102. 1. Receive an email copy of this form.
103. Email address

     This field is not part of the form submission.

104. Submit Submit and Print

* indicates a required field