2. Alarm Registration

   If you install or use an alarm system, you must get a permit for each system. If your alarm system alerts our department (either by phone or through a monitoring company), you must register it with us. Complete this form, print it, and submit it with a $10.00 payment. Permits are valid for two years.
    
   Provide at least two emergency contacts. Notify our department within five days of any changes to your system or contact information.

   Payment Options:

   • Cash or credit card: Visit the Treasurer’s Office, 3rd floor, Government Center, 100 Gunsmoke St, Dodge City, KS.
   • Check or money order: Mail or deliver to 1506 W Comanche St, Dodge City, KS 67801.
     Business hours: Monday–Friday, 8:00 AM to 5:00 PM.
     1. Make checks/money orders payable to Ford County Communications.
         

   Questions? Call 620.227.4556. If Director Elliot Linke is unavailable, leave a message.

4. Application Information
6. Application Date*
   Application Date
8. Name (or Business)*
10. Type of Property*

    e.g.: commercial, residential, etc.

12. Mailing Address*
14. City*
15. State*
16. Zip Code*
18. Physical Address (if different)
20. City
21. State
22. Zip Code
24. Premises Phone Number*
26. Owner (or Manager) Name*
27. Owner (or Manager) Phone Number*
29. Emergency Contacts
31. Contact 1 Name*
32. Contact 1 Phone Number*
34. Contact 2 Name*
35. Contact 2 Phone Number*
37. Contact 3 Name
38. Contact 3 Phone Number
40. Alarm System Details
42. Licensed Alarm Business that Installed the System
44. Name*
46. Address*
48. City*
49. State*
50. Zip Code*
52. Phone Number*
54. Monitoring Service
56. Name*
58. Address*
60. City*
61. State*
62. Zip Code*
64. Phone Number*
66. * * * Do not fill out beyond this point. * * *
70. For Office Use Only
72. Paid by

    1. Credit Card
    2. Cash
    3. Check #
    4. Money Order #
73. Date Paid:
Leave This Blank:


74. Print Only

* indicates a required field