Alarm Business Permit Application by PermitDocsPrivate

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									City of Chandler                                              Alarm Business Checklist                                                Police Department

    For alarm business permit registration or renewal, complete the checklist for the associated permit type to ensure processing of the
    application. If the information is incomplete, it will be returned until all items are included. The following list of items are required to be
    updated on an annual basis unless otherwise indicated in parenthesis as a "(one-time)" submission.

                                                  Primary Alarm Business Permit Applications & Renewals
                  Alarm Business Permit Application/Renewal - Completed
                  Proof of Age - Each applicant (business owner, designated officer or financially interested person) must submit a clear
                  copy of their Driver's License or other government issued identification with picture.
                  Background Check - Each applicant must provide a set of fingerprints. Call 480-782-4201 to schedule a fingerprint
                  appointment. Fingerprint cards are accepted from other police departments.
                  Photo - Each applicant must have their picture taken by Chandler Police Department or e-mail a digital photo to
                  alarms@chandleraz.gov.
                  Agent List - Names of all persons who sell, install, repair, maintain, lease, monitor, etc.
                        Agent application for each agent
                  Location List - Names of all cities, towns and municipalities in Arizona where your company conducts business.
                  Copy of current City of Chandler Transaction Privilege Tax License. Call 480-782-2280 to obtain an application.
                  Copy of Articles of Incorporations if company is incorporated (one-time)
                  Copy of Contractor's License or Handyman Clause (one-time)
                  Copy of State Transaction Privilege Tax License issued by Arizona Department of Revenue (one-time)
                  Check made payable to the Chandler Police Department.
                        $200.00 New Primary Business Permit Application Fee
                        $20.00 Primary Business Permit Renewal Fee
                  Money Order or Cashier's Check made payable to the Arizona Department of Public Safety for each background check.
                        $22.00 Per Agent

                                                 Reciprocal Alarm Business Permit Applications & Renewals
                  Alarm Business Permit Application/Renewal - Completed
                  Proof of Age - Each applicant (business owner, designated officer or financially interested person) must submit a clear
                  copy of their Driver's License or other government issued identification with picture.
                  Agent List - Names of all persons who sell, install, repair, maintain, lease, monitor, etc.
                  Location List - Names of all cities, towns and municipalities in Arizona where your company conducts business.
                  Copy of current City of Chandler Transaction Privilege Tax License. Call 480-782-2280 to obtain an application.
                  Copy of current Primary Alarm Business License from Phoenix, Mesa, Tucson, Scottsdale or Glendale.
                  Check made payable to the Chandler Police Department.
                        $75.00 New Reciprocal Business Permit Application Fee
                        $20.00 Reciprocal Business Permit Renewal Fee

                                                     All checklist items MUST be brought in or mailed to:
                                                                 Chandler Police Department
                                                             Field Operations Division/Alarm Unit
                                                                 P.O. Box 4008, Mail Stop 303
                                                                   Chandler, AZ 85244-4008




                                                                   250 E Chicago St - Chandler, Arizona 85225
Form: CPD32-112                                             PO Box 4008, Mail Stop 303, Chandler, Arizona 85244-4008                                  Page 1 of 2
Revision: 06/12
                                                                   Phone: 480-782-4201 | Fax: 480-782-4222
City of Chandler                               Alarm Business Permit Application/Renewal                                                               Police Department


    For alarm business permit registration or renewal, complete this permit application and submit it with payment
    to the Chandler Police Department Alarm Unit.                                                                                               #

                                                    Make checks payable to Chandler Police Department.

                   $200.00 New Primary Business Permit Application Fee                                   $20.00 Primary Business Permit Renewal Fee
                   $75.00 New Reciprocal Business Permit Application Fee                                 $20.00 Reciprocal Business Permit Renewal Fee

 Alarm Company                                                                                Responsible Party/Officer (mailing address)


 Name (Last , First) or Business Name                                                         Name (Last , First)


 Street Address and Apt./Ste.                                                                 Street Address and Apt./Ste.


 City                                                    State              Zip               City                                             State         Zip


 Phone 1                                       Phone 2                                        Phone 1                                Phone 2


 Email Address                                                                                Email Address
 Permit Info
Chandler TPT Number:                                                        Primary City:                                                Primary Permit Expiration Date:

State TPT Number:                                                           Primary Permit Number:

 Contact Person 1 (owner/officer/financially interested person)                               Contact Person 2


 Name (Last , First)                                                                          Name (Last , First)


 Street Address and Apt./Ste.                                                                 Street Address and Apt./Ste.


 City                                                    State              Zip               City                                             State         Zip


 Phone 1                                       Phone 2                                        Phone 1                                Phone 2


 Email Address                                                                                Email Address


Have you or any business for which you were a "controlling person" ever had an alarm business, alarm agent or similar permit or license refused, denied,
canceled, suspended or revoked?

       No         Yes If "Yes," Date:                              If "Yes," Jurisdiction:

If "Yes," please list the reason(s) for such action:
Have you ever been convicted of ANY crime (including major traffic offenses - DUI, hit and run accident, reckless driving or felony flight) or are you
currently pending trial or other court proceeding for any criminal offense? FAILURE TO ANSWER TRUTHFULLY MAY RESULT IN THE DENIAL OF YOUR
APPLICATION.
       No         Yes If "No," initial here:
If "Yes," please describe:


    I hereby certify that the above information is accurate.

                       Signature:                                                                                            Date:


                                                                        250 E Chicago St - Chandler, Arizona 85225
Form: CPD32-112                                                  PO Box 4008, Mail Stop 303, Chandler, Arizona 85244-4008                                          Page 2 of 2
Revision: 06/12
                                                                        Phone: 480-782-4201 | Fax: 480-782-4222

								
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