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Warren Township Police Department 
44 Mountain Blvd., Warren, NJ 07059
(908)753-1000   FAX (908)757-7915   
email Info@WarrenPolice.org

RESIDENTIAL ALARM REGISTRATION

Dear Resident:

            In accordance with Warren Township Ordinance 3A-5a, all alarms, including audible and fire alarms, must be registered with our department. Please complete and return this form as soon as possible. This form MUST be completed in full and legible. Incomplete or illegible registrations will not be filed and your alarm will be considered unregistered. Additionally, please be advised that warnings and/or summonses will be issued for each false alarm, in accordance with Warren Township Ordinance 3A-7d.

            If you have moved into a home with an existing alarm system please provide the name of the previous owner, in order to make

              the necessary change in registration.

            If you have any questions, or if your alarm information requires an update, please feel free to contact us at any time at

             (908)753-1000.

1.                  TYPE OF ALARM (Check appropriate boxes)

BURGLAR – [    ]        FIRE – [   ]      PANIC – [   ]      MEDICAL – [   ]  
(Please note condition, medicines, special Instructions, etc on back of form)

  AUDIBLE   - [    ] – INSIDE – [    ]    OUTSIDE – [    ]                            

LOCAL ALARM ONLY     (Does not report to an alarm company) – [    ]

**IMPORTANT:    If phone line is cut/disabled does alarm send signal?     
  [    ]   Yes         [    ]   No

2.         RESIDENT INFORMATION

NAME ____________________________________________________HOME PHONE _______________ CELL PHONE__________________

ADDRESS ________________________________________________ WORK PHONE _______________

ALARM COMPANY/PHONE _____________________________________________________

3.          EMERGENCY CONTACTS-Persons to be contacted in your absence, in the event of an alarm or other residence emergency.

     PLEASE NOTE:If below noted individuals are key-holders, please ensure they are familiar with the proper operation of your alarm system (codes, passwords etc). Additionally, we request your contacts be in reasonably close proximity to Warren Township. We will make emergency contact only in the event of multiple alarm malfunctions or if there is something out of order in the home.

NAME/ADDRESS ____________________________ PHONE _______________ KEY   Y     N

NAME/ADDRESS ____________________________ PHONE _______________ KEY   Y     N

NAME/ADDRESS ____________________________ PHONE _______________ KEY   Y     N

NAME/ADDRESS ____________________________ PHONE _______________ KEY   Y     N