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Audible Intruder Alarm - key-holder record form

Page 1 of 3

Nature of installation *


Premises at which the alarm is installed







Person responsible for the alarm (the alarm-holder)

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Nominated key-holders

These are people who can be contacted if there is a problem and can re-set the alarm
Name
Name
Page 3 of 3

Alarm maintenance contractor

Has an automatic cut-out device been fitted?



Please note that Council Officers will try to contact the alarm holder and nominated keyholder(s) in the event of an alarm causing a noise nuisance. If this is not possible within a reasonable period of time, the Council may have to take formal action to silence the alarm and, subsequently recover its costs in doing so.
Signature
Date
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