Police and Public Safety

Business Alarm System Form

This form is used by Mason Police to collect important information from businesses operating at George Mason University. It is essential that Mason Police have relevant business contact information to ensure timely and adequate responses to alarms and calls for service after hours.

FORM SUBMITTER INFORMATION:

Please provide contact information for the person submitting the Business Alarm System Form.

Name(Required)

First Last

Email(Required)

Phone Number(Required)

BUSINESS INFORMATION:

Please provide contact information for the business associated with this Business Alarm System Form.

Name of Business(Required)

Business location at GMU (GMU Building # and Suite #)(Required)

Business Main Phone Number(Required)

PRIMARY KEYHOLDER INFORMATION:

Please provide contact information for the primary keyholder associated with this Business Alarm System Form.

Name(Required)

First Last

Email(Required)

After Hours Phone Number(Required)

SECONDARY KEYHOLDER INFORMATION:

Please provide contact information for the secondary keyholder associated with this Business Alarm System Form.

Name(Required)

First Last

Email(Required)

After Hours Phone Number(Required)

Additional Keyholder Information(Required)

Please provide any other relevant keyholder information that will help University Police respond to businesses on campus when needed. Type N/A if not applicable.

COMMERCIAL ALARM COMPANY INFORMATION:

Please provide contact information for any commercial alarm companies associated with this Business Alarm System Form.

Name (if applicable)(Required)

Type N/A if not applicable.

Phone Number (if applicable)(Required)

Type N/A if not applicable.

Account Number (if applicable)(Required)

Type N/A if not applicable.

Does this facility have any GMU panic alarms (yes or no)(Required)

Yes

Description of any hazardous materials located in the facility (if applicable)(Required)

Type N/A if not applicable.

Special instructions for police or fire response (if applicable)(Required)

Type N/A if not applicable.

Signature(Required)

By signing this form you are acknowledging that you are an authorized person to submit information on behalf of the business listed in this form and that all submitted information is accurate to the best of your knowledge.

CAPTCHA

This field is for validation purposes and should be left unchanged.