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DANVILLE POLICE DEPARTMENT
P.O. BOX 443
DANVILLE, NH  03819

Wade H. Parsons
Chief of Police

 Emergency - 911
Business - 382-9403

ALARM INFORMATION SHEET

The following information is needed for the Danville Police Department to be able to best serve your needs when you Alarm System is activated.  Please fill in the information below.

Last Name:  __________________________ First Name:  ______________________________

Address:  _____________________________________________________

 

Phone:  ____________

 

Type of Alarm:  Monitored ___ Audible ___ Silent  ___ Burglary  ___ Fire ___ Panic ___
If Monitored
                      by Whom:  _________________________________________

Phone:  ___________
Address:  __________________________________________________
If Audible,
                  Automatic Shut Off:

 


     Yes:  ____     No:  _____

 


Reset Time:  _______

 

Who to contact for shut off:  ______________________________ Phone:  ______________
Address:  __________________________________________________

 

Please list three people for us to contact when the alarm is activated.

Name Address Home Phone Work Phone


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Official Use Only

BOX #________