Form Center

2. Village of Skokie
   Police Department
3. 
5. Alarm Permit Registration Form
   Please review the information for accuracy.
7. 1. Alarmed Location
9. Occupant Name or Business Name:*
11. Address:*
13. City:*
14. State:*
15. Zip:*
17. 2. Responsible Party
19. Name:*
20. Phone Number 1:*
22. Address:*
23. Phone Number 2:
25. City, State, Zip*
26. Email:*
27. Phone Number 3:
29. 3. Contact Names
31. Contact 1:*
    Name
32. Phone Number:*
34. Contact 2:
    Name
35. Phone Number:
37. 4. Additional Information
39. Date Installed/Activated:*
41. Special Conditions/Hazards:*
43. 5. Alarm Companies
45. Monitored?

    1. Yes

    1. No
47. Monitored by:*
48. Phone Number:*
50. Installed by:*
51. Phone Number:*
53. 6. Authority to Search and Investigate*

    1. Yes

    1. No

    If Skokie Police respond to an activated alarm and make observations that indicate suspicion and cannot contact a keyholder, I give them authority to enter and search to investigate.

55. Please indicate the fee type:*

    1. $25.00 Original Alarm Permit Fee

    1. $20.00 Annual Alarm Permit Fee

    1. $50.00 Alarm Permit Reinstatement Fee
57. Date of Submission:*
59. Upon submission, please check your email for a permit number and instructions to make payment.
    *Your permit number and instructions may take 1-2 business days to be sent.
Leave This Blank:


61. 1. Receive an email copy of this form.
62. Email address

    This field is not part of the form submission.

63. Submit Submit and Print

* indicates a required field