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Alarm Permit Application

  1. Form Instructions:

    This form is to be completed by the primary contact person for the address/business. Please complete all fields of this form in order to register your alarm system with the Brookline Police Department. Should your alarm be triggered, we will use the information provided to reach you. 

  2. Alarm Systems Information:
  3. What company monitors/manufactures the alarm?

  4. If this is a business alarm, please include the companies name.

  5. Your Information:
  6. Alternate Contact(s)
  7. Form Submission:*

    By checking this box I certify that all information is accurate and completed in full. I also certify that I am the authorized owner/manager of this alarm system.

  8. Signed By

  9. On this date

  10. Leave This Blank:

  11. This field is not part of the form submission.