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2. If you would like to appeal your false alarm bill please complete the following.
4. First Name*
5. Last Name*
7. Property Location / Street Address*
9. Address2
11. City*
12. State*
13. Zip*
15. Email Address*
17. Phone Number*
19. Invoice Date*
    Note: Appeal must be filed within 30 days of this invoice date.
21. Invoice Number*
23. Customer ID Number*
25. Select One*

    1. It was not my property
    2. The Police Department did not respond
    3. The Fire Department did not respond

    1. I do not own the property anymore
    2. Other (Please explain below in "other" box)
    3. I am renting / leasing the property
27. You may provide your tenant’s information, but at the end of the year it is the property owner’s responsibility to pay any outstanding false alarm bills. Any open / unpaid invoices dated between September 1 through August 31 of that current year, that have not been paid by November 1, will be placed on your December tax bill of that current year.
    
    Example: An invoice date of February 18, 2013 will appear on your tax bill if not paid by November 1, 2013.
29. First Name
30. Last Name
32. Property Location / Street Address
34. Address2
36. City
37. State
38. Zip
42. Please Change My Billing Address To
    If your billing address is incorrect on your tax bill, please correct in the space provided below.
44. Street Address
46. Address2
48. City
49. State
50. Zip
54. Supporting Documentation
    Please attach any supporting documentation.
56. Other
58. Attach a File
60. Attach a File
62. Attach a File
Leave This Blank:


64. 1. Receive an email copy of this form.
65. Email address

    This field is not part of the form submission.

66. Submit

* indicates a required field