Alarm Registry

Please complete this form to register security alarms with the Carlinville Police Department.

Alarm Registration Type(Required)

Individual (as a person)

Business (for a company)

Select "individual" if you are registering a personal alarm, or select "business" if you are registering an alarm for a company.

Name(Required)

First Last

Email(Required)

Phone Number(Required)

Address(Required)

Street Address Apartment / Suite Number City State ZIP Code

Company

Address(Required)

Street Address Apartment / Suite Number City State ZIP Code

Type of Alarm System(Required)

Burglary

Fire

Medical

Other

If other, describe below in the Notes section.

Name of Alarm Company(Required)

Alarm Company Phone Number(Required)

Enter names and phone numbers for any additional contacts, and any helpful information about the alarm's capabilities or setup.

Notes(Required)

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