Alarm Permits Form

Fill out this application as completely as possible. When finished, read the acknowledgment at the bottom of the form and indicate your agreement. Click on the 'Submit' button when you are done to submit your application. If you do not want to use the online form, you may download a print version here.

If you have questions about this application or alarms in general, contact the Sandy City Police Department Alarm Coordinator by calling (801) 568-7179 or email Duff Astin at dastin.

Business or Resident Information
Business Name or Resident Last Name:
Resident First Name:
Resident Middle Initial:
Street Address of Alarm Location: (Include Unit, Suite, or Apartment number if applicable as well as street coordinates)
Street Address Zip Code:
Site Phone #:
Alternate Phone #:
Alternate 2 (Cell) Phone #:
Email:
Mailing Address: (If different from the alarm location above)
Mailing City:
Mailing State:
Mailing Zip Code:
Business Owner: (If a business, this is the person responsible for paying any alarm fees that may be required later)

Alarm Installation Company
Alarm Installation Company:
Address:
City:
State:
Zip Code:
Telephone:

Alarm Monitoring Company Information
Monitoring Company:
Address:
City:
State:
Zip Code:
Telephone:

Acknowledgment
I hereby certify that I have read the completed application and represent the same to be true and correct. I hereby agree, that if a permit is issued, I will comply with all the provisions of the city ordinance and applicable state laws. I accept responsibility for all fees or fines that may result from the operation of the alarm system serving the above premises. I have read and agree to the above. (Type "I AGREE" in the box above to continue)

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10000 Centennial Pkwy Sandy, UT 84070