Santa Cruz — Alarm Appeal Form

Source: https://shf.santacruzcountyca.gov/Portals/1/County/sheriff/formsdocs/2025%20Alarm_Appeal_Form.pdf

County of Santa Cruz

SHERIFF-CORONER 5200 SOQUEL AVE, SANTA CRUZ, CA 95062 (831) 454-7603 FAX: (831) 454-7608

CHRIS CLARK

SHERIFF-CORONER

ALARM APPEAL FORM

INSTRUCTIONS 1. Legibly complete section A only. If more room is needed, please attach additional information or evidence. 2. Appeal must be received within 30 days of the alarm billing. 3. Return to: Sheriff-Coroner, Attn: Alarm Registration Appeal, 5200 Soquel Ave, Santa Cruz, CA 95062 4. You will be notified of the appeal resolution within 30 days. 5. Make a copy of all correspondence for your records.

SECTION A: COMPLAINT INFORMATION

ALARM PERMIT NUMBER ALARM OWNER/USER’S NAME DATE & TIME OF INCIDENT

ALARM OWNER/USER’S ADDRESS (Street No, City/Town, Zip) Phone Number (with area code)

BRIEF EXPLANATION OF REASON(S) FOR APPEAL:

I HEREBY DECLARE UNDER PENALTIES OF LAW THAT THE FOREGOING STATEMENTS ARE TRUE.

SIGNATURE DATE ADMINISTRATIVE USE ONLY FEE WAIVED FEE ADJUSTMENT FEE VALID COMMENTS:

Reviewed By ID No. DATE