Form Alarm 500 PDF Details

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QuestionAnswer
Form NameForm Alarm 500
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other nameswww sacsheriff com alarm registered alarm users, sacramento county alarm permit, sacsheriff alarm, sacramento county sheriff's department alarm permit on line

Form Preview Example

SACRAMENTO COUNTY SHERIFF’S DEPARTMENT RANCHO CORDOVA POLICE DEPARTMENT

ALARM ORDINANCE BUREAU

(916)874-4616

(916)874-8101-FAX

ALARM PERMIT APPLICATION

PERMIT NUMBER

CHECK#

____________________________________________________________________________________________

AMOUNT

INCOMPLETE FORMS WILL NOT BE PROCESSED.

 

Required Fields:____

Sacramento County

 

Rancho Cordova

Permit Type:

Business Name (If applicable):

Applicant Last Name: Drivers License # or ID #:

(NOT REQUIRED FOR THE INC CITY OF RANCHO CORDOVA)

Date of Birth:

(NOT REQUIRED FOR THE INC CITY OF RANCHO CORDOVA)

Residential Business Government School

First:MI:

State:

Month Day Year

 

 

 

 

 

 

 

Street:

 

 

 

Site Address Number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Site City:

 

 

 

 

 

 

 

Mailing Address #(if different):

 

 

 

Street:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Suite:

 

 

 

 

 

State:

 

 

 

 

Zip:

 

 

 

 

 

 

 

 

Suite:

 

 

 

 

Mailing City:

 

 

 

 

 

 

 

 

 

 

 

 

 

State:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Area Code

 

 

Number

 

 

 

 

 

 

 

 

Phone 1:

 

 

 

 

 

 

 

 

 

(

)

-

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone 2:

 

 

 

Area Code

 

 

Number

 

 

 

 

(

)

-

-

 

 

 

 

 

 

 

 

 

Phone 3:

 

 

 

Area Code

 

 

Number

 

 

 

(

)

-

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

e-mail (optional):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Monitoring Alarm Company:

 

 

 

 

 

 

 

 

 

 

Servicing Alarm Company:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Zip:

 

 

NON-REFUNDABLE PERMIT FEE

 

 

 

 

 

 

 

 

\MAIL APPLICATION AND

 

 

 

 

 

 

 

 

 

 

 

 

PAYMENT TO:

 

 

NEW……………..$

50 if obtained within 15 days of installation/placement into service

 

 

 

 

$

75 if obtained after 15 days of installation/placement into service

 

 

 

 

 

 

 

SHERIFF’S ALARM BUREAU

 

 

 

 

 

 

 

 

$325 if obtained after 45 days of installation/placement into service

 

 

P O Box 988

 

 

 

 

 

 

 

 

RENEWAL………$

45 Every two years (THE INCORPORATED CITY OF RANCHO

 

 

Sacramento, CA 95812-0988

 

 

 

CORDOVA HAS NO RENEWAL)

 

 

 

 

 

 

 

 

Website: www.sacsheriff.com

 

 

 

 

 

 

 

 

$

53 service charge assessed on all returned checks.

 

 

e-mail: alarms@sacsheriff.com

 

 

 

 

 

 

 

 

 

 

A COPY OF THE SACRAMENTO COUNTY ALARM ORDINANCE IS AVAILABLE AT THE SHERIFF’S DEPARTMENT WEBSITE – www.sacsheriff.com. A COPY OF THE CITY OF RANCHO CORDOVA ALARM ORDINANCE CAN BE OBTAINED BY CALLING (916) 851-8700.

SECTION 9.20/010 STATES THAT IT IS UNLAWFUL FOR ANY PERSON TO KNOWINGLY FALSIFY OR CONCEAL ANY FACT(S) OR MAKE FALSE OR FRAUDULENT STATEMENT(S) IN ANY MANNER WITHIN THE JURISDICTION OF ANY DEPARTMENT OF THE COUNTY.

I ACCEPT RESPONSIBILITY FOR PAYMENT OF ALL FEES AND FINES THAT MAY RESULT FROM THE OPERATION OF THE ALARM SYSTEM SERVICING THE ABOVE PREMISES UNTIL SUCH TIME I NOTIFY THE SHERIFF’S ALARM BUREAU OF REMOVAL OF THE SYSTEM AND/OR RELOCATION. I AM ALSO RESPONSIBLE FOR NOTIFICATION TO THE SHERIFF’S DEPARTMENT OF ANY ALARM COMPANY CHANGES WITHIN 10 DAYS.

 

APPLICANT’S SIGNATURE

 

 

DATE

 

 

 

 

 

 

 

Form# ALARM-500 (rev.8/12)

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A way to complete sacramento county alarm permit application online step 1

2. After the last array of fields is done, you're ready to add the needed specifics in Mailing Address if different, Mailing City, Phone Area Code Number Phone, Phone Area Code Number, email optional, State, Zip, Monitoring Alarm Company, Servicing Alarm Company, NONREFUNDABLE PERMIT FEE, if obtained within days of, if obtained after days of, Every two years THE INCORPORATED, CORDOVA HAS NO RENEWAL, and NEW RENEWAL so that you can progress to the third stage.

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