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Application for Permit to Operate an Alarm System

  1. This application is by:
  2. Type of Alarm System
  3. Emergency Contacts
    Individuals who can be contacted in the event of an emergency.
  4. This application is for:
  5. This system will:
  6. Type of alarm device:
  7. Alarm System Installation Company
    Note: Village Law requires that your alarm company must have a valid license to operate an alarm business, issued by the State of New York.
  8. Handicapped information, additional contacts, etc.
  9. Leave This Blank:

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