Alarm Registry

Please complete this form to register security alarms with the Bloomsburg Police Department.

Alarm Registration Type *

Individual (as a person)

Business (for a company)

Select "individual" if you are registering a personal alarm, or select "business" if you are registering an alarm for a company.

Reporting Person

First Name *

Last Name *

E-mail Address *

Phone Number *

Address

Street Address *

Apartment / Suite Number

City *

State *

Zip Code *

Alarm Location

Copy Address from Above Get Address from Map Marker

Company

Street Address *

Apartment / Suite Number

City *

State *

Zip Code *

Map Marker

Use Alarm Location Address Use My Current Location

Hint, click the map to add or drag a GPS Marker. Zoom in for a better view.

Alarm Details

Type of Alarm System *

Burglary

Fire

Medical

Other

If other, describe below in the Notes section.

Name of Alarm Company *

Alarm Company Phone Number *

Alarm Summary

Enter names and phone numbers for any additional contacts, and any helpful information about the alarm's capabilities or setup.

Notes

Leave this field blank