Santa Cruz — Alarm System Registration Form

Source: https://shf.santacruzcountyca.gov/Portals/1/County/sheriff/formsdocs/Alarm%20System%20Registration%20Form.pdf?v=2026

SANTA CRUZ COUNTY ALARM SYSTEM REGISTRATION SANTA CRUZ COUNTY SHERIFF-CORONER Alarm Registration # Type of registration (check all that apply): ALARM REGISTRATION DESK Alarm Video 5200 SOQUEL AVE SANTA CRUZ, CA 95062 (new applications - please leave blank) 831-454-7603 New Renewal TYPE OF PROPERTY (check one): □ BUSINESS □ RESIDENCE Resident(s) / Business Name:

Location Address: Gate Code:

Mailing Address (if different):

Contact Person: Cell Phone # Home Phone # Business/Phone # Ext:

May we contact you

E-mail Address: via e-mail? Yes No

ALARM INFORMATION:

Alarm Company: Phone # Ext:

Address:

Does Alarm Reset Automatically? No Yes If yes, after how long? Remote Monitoring Location: Type of Alarm: (check all that apply) Audible Silent Phone #

Location of any pets, guard dogs, firearms, ammunition, explosives, flammable liquids, poisonous materials or any other hazardous materials on the property to be protected by the security alarm system:

AUTHORIZED CONTACTS:

OTHER PERSONS WHO CAN BE CONTACTED, 24 HOURS A DAY, IN CASE OF AN ALARM ACTIVATION PLEASE LIST IN ORDER YOU WISH CONTACTED

Name: Address: Alarm Home Phone # Cell # Business Phone # Ext:

Name: Address:Home Phone # Cell # Business Phone # Ext: Registration # Name: Address: Home Phone # Cell # Business Phone # Ext:

VIDEO SURVEILLANCE INFORMATION

Video Camera Surveillance Brand/Model:

Areas viewed by camera(s):

How are video recordings stored by your system? How long are they kept?

Additional information about your system:

Please make checks payable to: I hereby agree to maintain my alarm system in working order and abide by the Santa Cruz County Sheriff stipulations as set forth in Ordinance #4730 of the County of Santa Cruz. A copy of Initial Registration Fee - $50.00 ordinance #4730 can be found at www.scsheriff.com. Annual Renewal Fee - $40.00 Video ONLY - FREE SIGN APPLICANT SIGNATURE: DATE: Department Action: Fees Received/Date: Application Received/Date:

SHF-0393 - (revised - 7/01/26)