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Fire Alarm Registration Application

  1. Introduction

    Please fill out all fields below. For assistance, contact the Village of Niles Fire Prevention Bureau at (847) 588-8069, or rpm@vniles.com.

  2. Business Information

  3. (Must match Business Name on Certificate of Occupancy (C.O.)

  4. (If different from Business name above)

  5. Select the Type of Business*

    *If Partnership or Corporation, please list all Partners or Principal Officers in the box below.

  6. Business Owner Information

  7. Emergency Contact Information

  8. Runner service:*

  9. RUNNER SERVICE - The service provided by a runner at the protected premises, including restoration, resetting, and silencing of all equipment transmitting fire alarm or supervisory or trouble signals to an off-premises location. You can call your monitoring company to find out if you have this service.

  10. (Service Company - The alarm contractor who service your system and performs the annual inspection.)

  11. I/We understand the acceptance of this registration is conditional upon compliance with all Village Ordinances, State and Federal Law, and the results of any inspections required by ordinance at this time and any further inspections while in force. I/We have read this application and answered all questions fully and the information I/We have submitted in this application is complete and truthful to the best of my knowledge.

  12. I agree that entering name, title, and date below shall constitute an electronic signature.

  13. Leave This Blank:

  14. This field is not part of the form submission.