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2. READ THIS PRIOR TO COMPLETING FORM

   You can submit an Alarm User Permit application online. Payment is taken through PayPal. 

   YOU MUST SIGN-IN OR CREATE AN ACCOUNT BEFORE COMPLETING THE APPLICATION FORM. 

   If you prefer not to create an account or use PayPal, you can download and complete the Alarm User Permit Application (PDF) and return the signed application with fee to:
   Hopkins City Hall
   1010 First Street South
   Hopkins, MN 55343

4. 1. Alarmed Location
6. Business Name (if applicable)
8. Street Address*
9. Apt/Suite
11. City*
12. State*
13. Zip Code*
15. Home Phone*
16. Cell Phone*
18. Work Phone*
19. Email Address*
23. Mailing/Billing Address (only if different from above)
24. Apt/Suite
26. City
27. State
28. Zip Code
32. Property Owner
34. Name*
36. Phone*
37. Alternate Phone*
41. Additional Alarm Users (or key-holders)
43. Name
45. Phone
46. Alternate Phone
48. Name
50. Phone
51. Alternate Phone
55. 2. Type of Alarm Function*

    Check all that apply

    1. Waterflow
    2. Heat/Smoke Detection
    3. Manual
    4. Burglary
    5. Panic/Medical
    6. Hold-Up
59. 3. Fee
61. Type of Alarm System
    Fire Alarm
62. Price
63. Quantity
64. Shipping Cost
66. Taxable
68. Type of Alarm System
    Police Alarm
69. Price
70. Quantity
71. Shipping Cost
73. Taxable
77. 4. Alarm Companies
79. Alarm Service Company Name*
80. 24-Hour Phone*
82. Alarm Monitoring Company Name*
83. 24-Hour Phone*
87. 5. Additional Information
    Provide any special information about the home/building (trap doors, animals or pets inside, things that may explode, chemicals on site, firearms on site, etc), lock box or key box and location.
91. 6. Authorization

    1. I hereby authorize the Hopkins Fire Department to notify the fire alarm/sprinkler service company if a service call is necessary and my keyholder is unavailable. (Optional)
93. GOVERNMENT DATA PRACTICES - TENNESSEN WARNING
    The data you supply on this form will be used to process the license you are applying for. You are not legally required to provide this data, but we will not be able to process the license without it. The data will constitute a public record if and when the license is granted as such will be available to the general public upon written request. (MN Law M.S.13.41)
95. All alarm systems are subject to false alarm charges, fees and penalties according to City Ordinance. I have reviewed the Hopkins Alarm Ordinance and understand its contents and my responsibilities.
97. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
99. Electronic Signature*
100. Date*
     Date
Leave This Blank:


102. Calculate Totals Proceed to Checkout

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