MEDINA POLICE DEPARTMENT 501 Evergreen Point Road Medina, Washington 98039 Phone: 425.233.6420 Fax: 425.637.3989 www.medina-wa.gov
For questions or assistance completing this form, please contact the Records Manager at 425-233-6422.
LIST TWO RESPONSIBLE REPRESENTATIVES (OTHER THAN THE SUBSCRIBER) WHO WILL RESPOND WITHIN 15 MINUTES TO AN ALARM ACTIVATION TO ASSIST THE POLICE IN DETERMINING THE CAUSE OF THE ALARM ACTIVATION AND TO SECURE THE PREMISES. MAKE SURE YOUR CONTACT INFORMATION IS CURRENT WITH YOUR ALARM COMPANY AND MEDINA POLICE DEPARTMENT.
Registration of an alarm system does not create a contract, duty or obligation either expressed or implied for police to respond. Any and all liability and consequential damage resulting from the failure to respond to a notification is hereby disclaimed and governmental immunity as provided by law is retained. By registering an alarm system, the user acknowledges that police response may be based on factors such as availability, priority of calls,weather conditions, traffic conditions, emergency situations and staffing levels.
* - denotes required field