Application for Alarm Business License

 Step 1 of 1

Application for Alarm Business License

City Ordinance 5.06

Please complete form below.  After all approvals are complete you will be sent an invoice for your business license.

* Denotes a required field

General Information

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ZIP*
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Second portion of ZIP Code is optional.
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ZIP*
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Second portion of ZIP Code is optional.
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Business Phone*
-- ext
Cell Phone 
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Business Start Date*
 , 
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Website URL 

Owner's or Principal's Name(s)

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ZIP*
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Second portion of ZIP Code is optional.
Owner Phone 1*
-- ext
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ZIP 
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Second portion of ZIP Code is optional.
Owner 2 Phone 
-- ext
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Approximate number of alarm installations:

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Years of Serivce Installing:

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I certify that the above statements are true. I have read and understand the Ordinances dealing with alarms and the standards issued by the Police Chief and the Fire Chief and agree to abide by them and any amendments, etc. I further certify that no employee of the Fire Department or Police Department nor member of any such employee's immediate family has an interest, directly or indirectly, in this alarm business within the limits of the City of Davenport.
Check this box if you agree with the certification statement above.*
Please check all licenses that apply:*