Mesa Police Alarm Unit

Alarm User Permit Application

Instructions:
If you live in a county island and your Police Services are provided by Maricopa County Sheriff’s Office, you cannot apply for a permit with the Mesa Police Department. Please call the Maricopa County Sheriff’s Office to see if you need to obtain an alarm permit with them.

* - The following fields are required for the new alarm permit.

* This alarm location is a:
* Name of Primary Resident or Business Name:
(Last Name, First Name)
Name of Secondary Resident or Business contact:
(Last Name, First Name)
* E-mail address of Primary Resident or Alarmed Location Owner:

Address of Alarmed Location
* Street: Suite/Apt #:
* City: * State: * Zip Code:
* Telephone Number at Alarmed Location:

Mailing Address
Only if different than above. P.O. Box, Corporate Address or Other
Street Suite/Apt #:
City: State: Zip Code:

Type of Alarm Permit
The City of Mesa requires a permit for any functioning alarm system. 3 types of permits are available. CHOOSE ONLY ONE


The Burglary function is the audible portion of your alarm system which includes all door contacts, motion detectors and/or window glass detectors. (Resident and/or Business)

The Panic or Hold-up function is the silent portion of your alarm system which includes a button on the key fob, or at the keypad, under a counter, in the freezer, on a wall or on a necklace. (Resident and/or Business)

Would like both Both Panic and Hold-up functions (Resident and/or Business)

Alarm User Information
Alarm User #1:  * Name: (Last Name, First Name)
* Phone Number: Alternate Phone Number:

Alarm User #2:  Name: (Last Name, First Name)
Phone Number: Alternate Phone Number:

Alarm Company Information
Alarm Service Company or
 Name:  Telephone:

Alarm Monitoring Company or
 Name:  Telephone:

Credit Card Information
* Credit Card #: * Expiration Month/Year (MMYY): * Credit Card Type:

By submission of this on-line alarm permit application, I hereby affirm that I have read, understand and agree to comply with the following items:

  • I have been instructed by the alarm company on how to properly operate my alarm system
  • I have the monitoring company telephone number to use for cancellations, to test my alarm, to update telephone contact information and to request alarm service or repairs.
  • I understand that I cannot cancel a robbery/panic alarm activation
  • I understand that to cancel a false alarm activation I must call my alarm company and give them my proper cancellation code. If I only call the Mesa Police Department, they will advise me to call my Alarm Company to properly cancel Police Response.
  • I will conduct periodic testing of my alarm system. (At least once per year)
  • I will instruct any "New" alarm users on how to operate the alarm system, how to cancel a false alarm activation and will provide them with a proper cancellation code. ("New" alarm users include; house sitters, cleaning crews, realtors, new employees, babysitters, repairmen and construction crews.)
  • I understand that pets, balloons and new items in an alarmed area can cause a false alarm.
  • Per the City of Mesa Alarm Code 6-15 the alarm monitoring company is required to make two telephone calls to the alarm user prior to dispatching police to allow an opportunity for cancelling the alarm activation. I have called my Monitoring Company and verified that the numbers they have on file are correct and updated as of today.

I also agree that I am familiar with Mesa City Code 6-15 and will comply with the provisions of its Chapter. I agree to maintain my alarm system in good working order and make every effort to not cause any false alarm calls. I am the responsible person for this alarm system.

By checking this box, I hereby affirm that I have read, understand and agree to comply with the above items.