CITY OF MESQUITE
RESIDENTIAL
ALARM PERMIT APPLICATION

INSTRUCTION TO APPLICANT:  (PLEASE CLICK HERE TO READ THE ALARM ORDINANCE INFORMATION)

THIS APPLICATION MUST BE FILLED OUT COMPLETELY. PERMIT WILL BE ISSUED to THE INDIVIDUAL WHOSE NAME APPEARS IN THE "NAME OF APPLICANT" FIELD. MAKE CHECK OR MONEY ORDER PAYABLE TO THE CITY OF MESQUITE, ALARM PROGRAM.

MAKE CHECK OR MONEY ORDER PAYABLE TO THE CITY OF MESQUITE ALARM PROGRAM. PAYMENTS MAY BE MAILED TO 777 N. GALLOWAY AVE., MESQUITE, TX 75149 ATTENTION: ALARM AND IMPOUND OFFICER

Residential Data Change
Name of Applicant
Applicant's Driver License #Applicant's Driver License State
No valid ID? Please click here
Alarm Site Address
Applicant's home phone Applicant's work phone Applicant's cell phone
Applicant's email
Telephone Number(1) Telephone Number(2)
Mailing Address
City State Zip
Burglary Panic Robbery
Audible    Silent    NA Alarm Provider
***** Emergency Contact(s) to secure the Alarm Site when the Mesquite Police Department Arrive *****
Contact Person #1 Name
Phone # Phone #
Contact Person #2 Name
Phone # Phone #
Contact Person #3 Name
Phone # Phone #