Melbourne Home Page - Police Home Page Melbourne, Florida Police Department Alarm Registration Please fill-in the form completely, then click on the 'Send' button at the bottom of the page. Required fields are denoted with " * ". If a required field does not pertain to your incident, please type "n/a". **E-mail confirmation will be sent to the Primary Contact Person's e-mail address. We have detected errors in the information you submitted. Please fix the fields that are shown in red. * Today's Date:* Today's Date: * Alarm Contract Date:* Alarm Contract Date: This is the start date of the current alarm monitoring contract. * Name of Business or Resident:* Name of Business or Resident: * Business or Residence Address:* Business or Residence Address: * Suite or Apt. #:* Suite or Apt. #: * Zip Code:* Zip Code: * Evening Phone:* Evening Phone: * Daytime Phone:* Daytime Phone: E-mail Address: Please complete the following contact information for your residence: *Primary Contact Person:* Primary Contact Person: *Home Phone:* Home Phone: *Work Phone:* Work Phone: ***Email Address:**Email Address: *Second Contact Person:* Second Contact Person: *Home Phone:* Home Phone: *Work Phone:* Work Phone: E-mail Address: *Third Contact Person:* Third Contact Person: *Home Phone:* Home Phone: *Work Phone:* Work Phone: Email Address: *Name of Alarm Company:* Name of Alarm Company: *Alarm Company Phone Number:* Alarm Company Phone Number: WHEN THE FORM IS COMPLETED, CLICK ON THE 'SEND' BUTTON BELOW. Your information will be sent to the Melbourne Police Department.
Please fill-in the form completely, then click on the 'Send' button at the bottom of the page. Required fields are denoted with " * ". If a required field does not pertain to your incident, please type "n/a".
**E-mail confirmation will be sent to the Primary Contact Person's e-mail address.
WHEN THE FORM IS COMPLETED, CLICK ON THE 'SEND' BUTTON BELOW. Your information will be sent to the Melbourne Police Department.