Town of Darien, Connecticut

TOWN OF DARIEN, CONNECTICUT POLICE & FIRE ALARM E-REGISTRATION FORM

Note: All information will be validated with Tax Assessor's Office. Only valid owner's may file electronically. Information not validated will not be accepted for registration purposes. All fields are required. If the alarm was previously installed prior to your ownership, place "unknown" in installation form fields.

Address of alarm system:

Owner's (Last Name, First Name) or Business Name:

Owner's Mailing Address:

Owner's Home Phone Number:

Owner's Cell Phone:

 Owner's Email:

 Alarm System Monitored Company:

 Monitoring Company Address:

 Monitoring Company Phone:

Persons with access to your building: (Name of Keyholder #1) Keyholder#1 Phone:

Persons with access to your building: (Name of Keyholder #2) Keyholder#2 Phone:

Today's Date:

Click here to submit your request. After submitting request you will get a view of the submitted results with a thank you note. Any type of error message shows that it did not submit properly.

updated October 3, 2008