Alarm – Business Registration Form

Police Department

110 South Main Street

Springville, UT 84663

(801) 489-9421

Emergency - Dial 911

Business Alarm Registration Form

All fields on this form are required. Please complete the form and hit the submit button. After hitting submit you will be directed to another page with payment options, including the ability to submit your payment online. If you have already paid the one-time $15.00 registration fee, and you are renewing or updating information, please choose "Update Alarm Information" from the previous page.

Business Name:*
Please enter the name of your business.
Your Business Address:*
Enter the address in Springville where your business is located.

Street Address City ZIP Code
Business Hours Phone:*
Please enter all phone numbers in this format: (###)###-####
Alarm Type:*
Please check all boxes that correspond with the type(s) of alarm(s) you have installed at your business.
- Burglary/Break-in
- Robbery
- Fire
- Trouble/Disturbance
- Medical Emergency
Alarm Monitoring Company*
Please enter the name of the alarm company who provides the alarm service to your business.
Alarm Company Address:*
Enter the address of your alarm company.

Street Address Address Line 2 City State ZIP Code
Alarm Company Phone Number:*
Please provide us with the phone number for your alarm company service.
Your Business Primary Contact Person:*
First Last
Primary Contact Email*
Enter Email Confirm Email
Primary Contact Telephone:*
It is important that we be able to contact a representative of your company quickly should an alarm be activated. Please enter a 24 hour/day phone number for your primary contact person.
Primary Contact Secondary Phone:*
Please enter a second phone number for the Primary Contact for your business.
Primary Contact Address:*
Please enter the address for the Primary Contact person at your business.

Street Address City State ZIP Code
Second Contact:*
In the event of an alarm, if we are unable to contact the person listed above, we will need two additional contact persons. Please enter the second contact person's name and phone number here.
First Last
Phone*
Third Contact:*
Please enter a third contact person for this alarm and/or business.
First Last
Phone*
Security Code
Please enter the characters as you see them. This helps avoid spam working its way into our computers.