Department Forms

The Alarm Permit Application must be completed, signed and either mailed or brought in person to the Data Management Unit along with the appropriate fee.

You must report within 10 days any accident occurring in NY State causing a fatality, personal injury or damage over $1,000 to the property of any one person.

If your request can not be fulfilled via our online service, this form may be filled out and submitted via email or in person. Please be as specific as possible regarding the records that you wish to obtain.

For accessory cabarets wishing to sell tickets in advance or the charging of a fee inside the premises for live musical entertainment. Permit applications shall be submitted at least ten (10) days in advance of the scheduled performance. The completed form may be emailed to This email address is being protected from spambots. You need JavaScript enabled to view it. or faxed to (914) 422-6122.

Personnel Complaint forms can be filled out, scanned and returned via email to This email address is being protected from spambots. You need JavaScript enabled to view it., faxed to (914) 422-6122 or sent by postal service to White Plains Department of Public Safety, 77 So. Lexington Ave, White Plains, NY 10601. If you are unable to download this form, please call (914) 422-6106 to have a form mailed to you.

When a complaint is received about any department member the complaint will be assessed regarding the nature and validity of the complaint. The Chief of Police will assign the Office of Professional Standards to investigate the allegations. Upon receipt of the complaint the complainant will be advised that their complaint is being investigated. All complaints, investigations and interviews are strictly confidential throughout the entire process. If an investigation requires a long period of time to complete, the Office of Professional Standards will periodically keep the complainant informed that the matter is still under investigation. At the completion of the investigation, the Chief will notify the complainant of the results of the investigation.

Must accompany a Special Event Permit if the event involves an amplified sound device in, on or near any public place. There is a $50.00 processing fee. Application and fee must be brought in person to the Data Management Unit.

Special Event permit applications require a minimum of two (2) weeks advance notification. This form must be signed by the applicant on both pages. The completed form may be emailed to This email address is being protected from spambots. You need JavaScript enabled to view it. or faxed to (914) 422-6122.

Please complete this form and affirm that your business is in compliance with White Plains City Ordinance 4-25 requiring certain establishments to install video camera systems. Failure to comply with any provision of this ordinance is a violation of law and maybe punishable by fine or imprisonment. This form is required to be filed annually with the White Plains Department of Public Safety by January 31st.

This form may be mailed or delivered to: City of White Plains Department of Public Safety, Data Management Unit, 77 South Lexington Ave., White Plains, NY 10601.

Used to sign up an autistic child or elderly individual suffering from dementia to our Rapid Recovery Program. The completed form can be mailed to:

CASI Unit / WPPD
77 So. Lexington Avenue
White Plains, NY 10601

or filled out, scanned and emailed to This email address is being protected from spambots. You need JavaScript enabled to view it.