NMPD False Alarm Response Form

BOROUGH OF NEW MILFORD
POLICE DEPARTMENT

FALSE ALARM RESPONSE FORM

 



Dear Alarm User:





If you have recently received a "FALSE ALARM NOTICE" from the Police
Department, your cooperation is requested in completing and returning by mail, by fax or
in person the False Alarm Notice that was either mailed to you or left at your
home/business or you may choose to complete this FALSE ALARM RESPONSE FORM here
on-line using the Police Case # supplied on your original notice. All the information
provided will remain confidential!





  
Police Case #:                         
  False Alarm #: 

  
Date of Alarm:      
  Time of Alarm: 

  
Your Name:      

  
Your Address:   

  
Telephone #:   

  
Your Alarm Company's Name, Address and Telephone Number:

  

  
   

  
  PLEASE CHECK
  IF ABOVE INFORMATION HAS CHANGED SINCE REGISTERING ALARM OR YOUR LAST NOTICE.

  
Additional Comments:

  


  

  

  
 WHAT WAS THE PROBABLE CAUSE OF THIS FALSE ALARM:

  
    
    
  1. HUMAN ERROR
    
    
    2. 
    
  2. UNSECURED OPENING
    
    
    3. 
    
  3. PET / ANIMAL
    
    
    4. 
    
  4. DEFECTIVE EQUIPMENT
    
    
    5. 
    
  5. OTHER (PLEASE SPECIFY)  
    6. 
  

  
IF DEFECTIVE EQUIPMENT, WAS YOUR ALARM COMPANY NOTIFIED TO
  REPAIR?        YES   NO

  

  
By submitting this form, I do acknowledge
  receiving a Notice of Violation of the Borough of New Milford False Alarm Ordinance
  # 4-1.7 which states that any transmission of a false alarm after the THIRD occurrence in the same calendar year is a
  violation for which a summons will be issued.

  


              
  

  

  

  


       

  
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