Alarm System Registration

Finance Department • 102 N Neil St • Champaign IL 61820 • (217) 403-8940 • fax (217) 403-8995 • www.ci.champaign.il.us
SUMMARY of ALARM REGISTRATION CHARGES
Citizen Information for Alarm Registrants
In accordance with the City of Champaign’s Ordinance 1985 Chapter 4 “Alarm Systems”,
all active alarms for which the Champaign Police Department is the responding agency,
must register with the City.
The Initial Registration Fee is $50.
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The annual Alarm Renewal Fee is $20. The City will send alarm users a billing
notice for renewal one year from the month of the initial alarm registration.
The billing cycle for show up fees for false alarms is a rolling 12 month period.
This means that a false alarm call will remain on record for 12 months and fines
are assessed by counting the number of false alarms that occurred at a location
within the last 12 months.
The fine schedule is as follows:
o No charge for the first three false alarms
o $100 fee for the fourth through the ninth false alarm
o $150 for the tenth and subsequent false alarms
Finance Department • 102 N Neil St • Champaign IL 61820 • (217) 403-8940 • fax (217) 403-8995 • www.ci.champaign.il.us
ALARM PERMIT APPLICATION
Type of Alarm:
___ Residential ___ Business
___ Burglary ___ Robbery/Panic
Name of Registration Holder: ____________________________________________________
Business Name: _______________________________________________________________
Name of responsible party: ______________________________________________________
Alarm Location (including building, apt, suite # etc): ____________________________________________________
City: _____________________________________________ State: _______ Zip: ________
Billing Address: (if different) _______________________________________________________________________________________
City: ________________________________________________________________________
Email Address: ________________________________________________________________
Home Address: ________________________________________________________________
Home Phone: _______________________________ Cell Phone: _______________________
Office Phone: _________________________________________________________________
EMERGENCY CONTACTS
Name: _______________________________________________________________________
Phone #1: ________________________________ Phone #2: ___________________________
Name: _______________________________________________________________________
Phone #1: ________________________________ Phone #2: ___________________________
Special Conditions
In order to ensure the safety of our officers, the public and to enable the Champaign Police Department to better protect you property, please provide
information regarding potentially hazardous circumstances (i.e. guard animals, hazardous substances, etc.)
Comment: __________________________________________________________________________________________________________
ALARM INSTALLATION DETAILS
Alarm Installation Date: __________________________ Phone: ________________________
Alarm Installation Company: _____________________________________________________
Address: _____________________________________________________________________
Monitoring Company: (if different) ________________________________________________________________________________
Address:______________________________________________________________________
City: _____________________________________________ State: _______ Zip: ________
Phone #: _____________________________________________________________________
PLEASE READ THE FOLLOWING AND SIGN:
The is to certify that as the applying principal, my immediate family, tenants, or employees who have access to the protected premises have been
given training which includes procedures and practices to follow in the event that the alarm system is accidentally activated, I also acknowledge that
the installation company left me a set of written instructions for the alarm system, including written guidelines on how to avoid false alarms. The
Police response may be influenced by factors including, but not limited to, the availability of officers, priority calls, traffic conditions, emergency
conditions and staffing levels.
Signature: (Owner) ___________________________________________________ Date: _________________________