Please use this form to register your alarm system with the Beacon Falls Police Department.This form should be updated if any of the relevant information has changed. Date Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year202420252026 Name Phone Number Alarmed Premises Alarm Company Type of Premises Full time residence Part time residence Commercial/Industrial Municipal Building Other Type of Alarm Telephone dialer Central Station Local Only Audio Other Condition Reported by Alarm Burglary Fire Holdup Panic (Key holder required) Other Alarm sounds outside premises Yes No Alarm Automatically Resets Yes No Contact Person in Event of Alarm Phone Number of Contact Person Contact Person #2 Phone # of Contact #2 If Mailing Address of Owner/Manager is different than above, provide Address Leave this field blank