False Fire Alarm Fee

In the space provided enter business name as it appears on your license.

In the space provided enter business address as it appears on your license.

In the space provided enter contact person's first and last name.

In the space provided enter contact person's cell or day time phone number.

In the space provided enter you 3 to 7 digit invoice number. When entering the number include the dash.

In the space provided enter amount you are submitting for payment.

Subtotal Amount
Service Fee
Payment Amount