New Submission

Kane County Sheriff's Office
37W755 Illinois Route 38
St. Charles, Illinois 60175
Application For Alarm User Permit

Applicant and Billing Information

Today's Datefield type date
Business Name (If Applicable):*field type single line
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Applicant Gender:*field type radio button
Applicant Gender:MaleFemale
Alarm User First Name:*field type single line
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Alarm User Last Name:*field type single line
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Applicant Address:*field type address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Telephone Number:*field type single line
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Cellular Number:*field type single line
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Email Address:*field type single line
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Date of Birth:*field type date

Alarm Details

*field type radio button
Business PermitResidential PermitTenant
*field type radio button
New PermitYearly Renewal Permit
Do you have a Maintenance Contract on your system?*field type radio button
Do you have a Maintenance Contract on your system?YesNo
Alarm Signal Received At:*field type radio button
Alarm Signal Received At:Central StationSheriff's OfficeLocal Alarm
Type of Alarm:*field type checkbox
Type of Alarm:Burglar AlarmFire AlarmPanicOther
If other, please explain:*field type multi line
Areas of Business and/or Residence Protected by Alarm Systerm (Clarify General Zones):*field type multi line
(Clarify Specific Zones):*field type multi line
Businesses - state the business name as it appears on the building and/or site location:*field type single line
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Alarm Company Name:*field type single line
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Alarm Company Dispatch:*field type single line
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Alarm Company Address:*field type address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country

Emergency Keyholder Information

Provide the names and telephone numbers of two individuals who are able to respond to your location and reset or deactivate the alarm, should it be activated. Give their full names and the order that you wish them to be contacted. Provide the area codes for all individuals listed.
First Name:*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Last Name:*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Telephone Number:*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
First Name:*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Last Name:*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Telephone Number:*field type single line
Input blocked. Maximum character limit of 4000 characters reached.

I hearby agree to comply with all requirements of this Ordinance. I understand that I am responsible for the Alarm Permit Application and all fees and/or fines associated with Permits(s) and/or False Alarms.

Kane County Alarm Permit Ordinance #16-289 requires all businesses and residences with burglar alarm systems to have a valid Alarm Permit. The Ordinance governing the Alarm Permits can be viewed online. The alarm user acknowledges and authorizes that information contained herein may be shared with the alarm company for the purpose of reducing false alarms. Fees and/or Fines will be assessed based on the following:

Residence/Business	False Alarm Fees and Fines
First and/or Second False Alarm	Waived / $0.00
Third False Alarm	$75.00
Fourth and Each Subsequent False Alarm Thereafter Fine	$150.00
Failure to Register Alarm System, First Offense	$150.00
Failure to Register Alarm System, Second Offense	$300.00
Multiple false alarms in one calendar day may be counted as one alarm incident at the discretion of the Alarm Administrator.

The Alarm User acknowledges and affirms that all information contained herein is true and correct to the best of their knowledge. This application may be denied or the permit revoked for false or misleading information and that the Applicant certifies that he/she is authorized to act for the intended permit holder. Permits are not transferable.

*field type checkbox
I certify that I have read and understand the above noted statements and have submitted the information truthfully and to the best of my knowledge. I agree to all of the terms and conditions.