Emergency
Dial
911
Non Emergency
516-440-2300
BROOKVILLE POLICE DEPARTMENT
Courage, Service and Integrity
Board of Police Commissioners
About
Forms
Links
Alerts
Alarm
Contact
Alarm permit application
Address: (physical location of Alarm)
(Required)
Village
New York
Zip Code
Owner Name: ( Do not enter LLC or Irrevocable Trust Etc. )
(Required)
First
Last
Email
(Required)
Primary Phone
Secondary Phone
Renting or Occupant other than Owner?
(Required)
Yes
No
Occupant First Name
Occupant Last Name
Occupant Primary Phone
Married
Yes
No
Spouse Name
Spouse Phone
Children that reside at household?
Yes
No
Age of Children separated by commas
Live in Household help?
Yes
No
Household Help Name
Alarm Company Name? (I.E. ADT, Slomins, etc)
(Required)
System Type? (check as many boxes as applied)
(Required)
Bell/Siren
Central Station
Panic
Dogs in the household?
(Required)
Yes
No
Breeds separated by commas
Firearms in the household?
(Required)
Yes
No
Firearms separated by commas
Emergency Contact #1
(Required)
Emergency Contact #1 Phone
(Required)
Emergency Contact #2
(Required)
Emergency Contact #2 Phone
(Required)
Miscellaneous Info: (I.E. Gate Codes, Health conditions, handicaps etc.)
Permit Application Type?
(Required)
New $75
Renewal $50
Business $100
*** Each Permit Application is valid for 2 Years ***
Consent
(Required)
I agree to the cost listed above for the Alarm Permit application.
