You Are Here : Home / Government/ Police Department / Alarm Registration Form

Alarm Registration Form

Printing note: If you wish to have a completed, printed copy of this form, please print via your browser prior to clicking “Pay Online” or "Pay Via Check".

This form should NOT be completed by the Alarm Company. This form should be completed by the homeowner or business owner at the time of the registration.

Contact Us

False Alarm Enforcement Office

703-228-7374
ACPDAlarms@arlingtonva.us

Register Your Home or Business Alarm

All residential, nonresidential and commercial alarm users shall pay an annual registration fee of $25.00. After completing your registration, remit payment online, remit payment in-person or by mail via a check or money order payable to Arlington County Treasurer's Office.

Arlington County Police Department
Attn. False Alarm Unit
1425 N. Courthouse Road Suite #2100
Arlington, VA 22201

Alarm Type *

Business ($25 for each alarm can be paid online after form is completed)
Residential ($25 for each alarm can be paid online after form is completed)

Alarm User or Business Name *

Email Address *

Business Hours of Operation

Alarmed Premises

Street Address *

City *

State *

Zip Code *

Billing or Mailing Address

Street Address *

City *

State *

Zip Code *

Billing Telephone *

Attention (name)

First and Last name *

Who should be contacted in case of an alarm?

Contact One Information

Contact One Name

First and Last name *

Contact One Daytime Telephone *

Contact One Evening Telephone *

Contact Two Information

Contact Two Name *

First and Last name

Contact Two Daytime Telephone *

Contact Two Evening Telephone *

Contact Three Information

Contact Three Name

First and Last name *

Contact Three Daytime Telephone *

Contact Three Evening Telephone *

Is this system monitored? *

Yes
No

Monitoring Alarm Company

Name *

Phone *

Street Address *

City *

State *

Zip Code *

Which alarm company installed this alarm?

Name *

Phone *

Street Address *

City *

State *

Zip Code *

Installation Date *

VFOIA Notice

Do not submit any unsolicited personally identifiable information including (but not limited to) your: (1) social security number; (2) driver's license number; (3) bank account numbers; (4) credit or debit card numbers; (5) personal identification numbers (PIN); (6) electronic identification codes; (7) automated or electronic signatures; or (8) passwords; or (9) any other numbers or information that can be used to access your assets, obtain identification, act as identification, or obtain goods or services.< Information submitted through an Arlington County Government website is considered to be a Public Record under the Virginia Freedom of Information Act. Arlington County may withhold your name and contact information in accordance with the Virginia Freedom of Information Act. Please indicate, by checking the box below, if you would like for the County to seek to keep this information confidential.

FOIA Do Not Disclose Opt-out

Does a security guard check the premises?

Yes
No

Are there special or hazardous conditions on the premises?