Police Department, City of Winston-Salem, North Carolina
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Alarm System Permit Application
Alarm permit banner

  1. Complete the following form to register a new permit.
  2. For phone numbers, please enter the number including area code. 
    Example: (999) 999-9999
  3. Click "Submit" to request the permit.
  4. To "Cancel" click the Cancel link.
  5. If you have any problems processing the request, please contact
    the False Alarm Reduction Unit at (336) 773-7886. 

TYPE OF APPLICATION   New Information Update
Residential   Commercial   Religious Governmental

Information marked with an * is required. PHONE NUMBERS: xxx-xxx-xxxx
1. Alarm User/Business Information (Alarm Location)
Last Name: First Name: Middle Initial:
* *  
Street Number: Prefix: Street Name: Type: Suffix:
* * *  
Apt/Suite/Room#: City/Town: State: Zip Code:
  *   NC *
Home Phone: Cell Phone:
*  *
Work Phone: Email Address: 
*  
 
2. MAILING ADDRESS (IF DIFFERENT FROM THE Alarm Location)
Last Name: First Name: Middle Initial:
Street Number: Prefix: Street Name: Type: Suffix:
Apt/Suite/Room#: City/Town: State: Zip Code:
NC

3. LIST TWO (2) PEOPLE TO CONTACT IN THE EVENT OF AN ALARM 
(response within 30 minutes)
Last Name #1: First Name and Middle Initial #1:
* *
Contact Number: Contact Number:
*  
Last Name #2: First Name and Middle Initial #2:
   
Contact Number: Contact Number:
   

4. Alarm Company Information:
Company Name: Phone Number:
* *
  
5. Monitoring Company Information (if different from Alarm Company):
Company Name: Phone Number:
    
Date of Installation:  DATE: xx-xx-xxxx
   
     or  Cancel

false alarms cost millions