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Application for Permit to Operate an Alarm System

  1. This application is by:

  2. Type of Alarm System

  3. Individuals who can be contacted in the event of an emergency.

  4. This application is for:

  5. This system will:

  6. Type of alarm device:

  7. Note: Village Law requires that your alarm company must have a valid license to operate an alarm business, issued by the State of New York.

  8. Handicapped information, additional contacts, etc.

  9. Leave This Blank:

  10. This field is not part of the form submission.