Form Center

Alarm Permit Registration Form

2. Village of Skokie
   Police Department

   Police Department

3. 

5. Alarm Permit Registration Form
   Please review the information for accuracy.

   Please review the information for accuracy.

7. 1. Alarmed Location

9. Occupant Name or Business Name:*

11. Address:*

13. City:*

14. State:*

15. Zip:*

17. 2. Responsible Party

19. Name:*

20. Phone Number 1:*

22. Address:*

23. Phone Number 2:

25. City, State, Zip*

26. Email:*

27. Phone Number 3:

29. 3. Contact Names

31. Contact 1:*

    Name

32. Phone Number:*

34. Contact 2:

    Name

35. Phone Number:

37. 4. Additional Information

39. Date Installed/Activated:*

41. Special Conditions/Hazards:*

43. 5. Alarm Companies

45. Monitored?

    1. Yes

    1. No

47. Monitored by:*

48. Phone Number:*

50. Installed by:*

51. Phone Number:*

53. Please indicate the fee type:*

    1. $25.00 Original Alarm Permit Fee

    1. $20.00 Annual Alarm Permit Fee

    1. $50.00 Alarm Permit Reinstatement Fee

55. Date of Submission:*

57. Upon submission, please check your email for a permit number and instructions to make payment.
    *Your permit number and instructions may take 1-2 business days to be sent.

    *Your permit number and instructions may take 1-2 business days to be sent.

Leave This Blank:


59. 1. Receive an email copy of this form.
60. Email address

    This field is not part of the form submission.

61. Submit Submit and Print

* indicates a required field