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Alarm Permit Application
  1. Note: This application includes a consent to search the alarmed premises for intruders. By submitting this form electronically, you acknowledge that you have the right to refuse to give this consent. Please read the consent carefully before sending the form.

  2. Applicant Information
  3. Permit Type*
    Select permit type
  4. Business Name*
    Invalid Input
  5. Alarm User (Primary Contact):*
    Please enter the Primary Contact's name.
  6. Email:*
    Invalid Email Address.
  7. Date of Birth:*
    Invalid Input
  8. Street Address:*
    Please provide the number (house/apt. number).
  9. City:*
    Please enter city.
  10. Zip Code:*
    5-Digit Zip Code Required
  11. Nearest Cross Street:
    Invalid Input
  12. Home Phone (with area code):*
    Please enter your phone number.
  13. Cell Phone (with area code):
    Invalid Input
  14. Work Phone (with extension):
    Invalid Input
  15. Fax (with area code):
    Invalid Input
  16. Mailing Address (if different):
    Invalid Input
  17. City, State, Zip:
    Invalid Input

  18. Alarm Information
  19. Alarm Type:*
    Select One Alarm Type
  20. Type of Residence
    Select One Alarm Type
  21. System Status:*
    Select One
  22. Installation Date:*
    Please enter an approximate date.
  23. Alarm Style:*
    Choose One
  24. Name of Alarm Monitoring Company:
    Please enter the alarm company's name.
  25. 24-Hour Telephone:
    Invalid Input

  26. Additional Contact Information
  27. List up to four persons other than those listed above who can be contacted with keys to the premises to assist police or fire department to secure the premises or reset a malfunctioning alarm.

  28. Emergency Contact (A) Information
  29. Contact Name*
    Please enter the contact's name.
  30. Home Phone*
    Please enter a phone number.
  31. Cell Phone
    Invalid Input
  32. Work Phone
    Invalid Input
  33. Relationship to Applicant*
    Please enter your relationship.

  34. Emergency Contact (B) Information
  35. Contact Name
    Please enter the contact's name.
  36. Home Phone
    Invalid Input
  37. Cell Phone
    Invalid Input
  38. Work Phone
    Invalid Input
  39. Relationship to Applicant
    Please enter your relationship.

  40. Emergency Contact (C) Information
  41. Contact Name
    Please enter the contact's name.
  42. Home Phone
    Invalid Input
  43. Cell Phone
    Invalid Input
  44. Work Phone
    Invalid Input
  45. Relationship to Applicant
    Please enter your relationship.

  46. Emergency Contact (D) Information
  47. Contact Name
    Please enter the contact's name.
  48. Home Phone
    Invalid Input
  49. Cell Phone
    Invalid Input
  50. Work Phone
    Invalid Input
  51. Relationship to Applicant
    Please enter your relationship.

  52. CONSENT TO SEARCH AND WAIVER OF RIGHT TO REFUSE TO GIVE CONSENT

    By submitting this form, I consent to the search of the alarmed premises by the Conway Police Department for intruders if the Alarm Monitoring Company requests police assistance in responding to the alarm at the alarmed premises or, if this is an ‘audible-only’ alarm, if the audible alarm is sounding. This consent shall remain in effect while the permit is in effect.

    BY SUBMITTING THIS FORM I UNDERSTAND THAT I HAVE THE RIGHT TO REFUSE TO GIVE THIS CONSENT.

    • I understand that under the Arkansas and United States Constitutions, I have a legally protected right against a warrantless entry or search of my home. I understand this right to mean that law enforcement personnel may not enter or search my home without a warrant or exigent circumstances.
    • I understand that I have a right to refuse this request for consent to search my premises.
    • I waive for myself and for all others living in my home, this Constitutional right against a warrantless entry or search of my home.
    • I consent and authorize members of the Conway Police Department to, in my absence, enter or search my home in for intruders if the Alarm Monitoring Company requests police assistance in responding to the alarm at the alarmed premises or, if this is an ‘audible-only’ alarm, if the audible alarm is sounding.
    • I understand that I may terminate this Waiver and Consent at any time by simply notifying the Conway Police Department in writing.
  53. Please provide gate codes or garage door codes here that may assist officers in their investigation to your alarm.
    Invalid Input
  54. *
    You must indicate that you understand the agreement.

Conway Police Headquarters

Conway Police Headquarters

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Address:
1105 Prairie Street
Conway, AR  72032

Phone:
9-1-1 (Emergencies Only)
501-450-6120 (non-emergency line)

Tip Line:
501-450-4135 (anonymous)

Text-a-Tip:
Send a text to CRIMES (274637) using Keyword "CONWAY" at beginning of message.

Use the links to the left for specific departments and employees.

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Mission Statement

We, the members of the Conway Police Department, are committed to protecting and serving the citizens of Conway, Arkansas. That is our highest calling, as we pledge to join hands with others in carrying out our sworn duty to uphold the law.