CMRS Monitoring CSL Dualcom Application Form

CMRS Monitoring CSL DualCOM Application Form

Alarm Company Details
Alarm Co - Name / Phone
Address 1 / Email Address
Address 2 / Branch No
Address 3 / Service Co No
Post Code / Installer No
Equipment to be Ordered
CSL DigiPLUS / CS2121 / YES / NO
CSL DigiAir / CS5610 / YES / NO / CSL DigiAir (Promo) / CS5610 / YES / NO
CSL G2R (GPRS Only) / CS2212 / YES / NO / CSL G3R (GPRS Only) / CS3312 / YES / NO
CSL G2 (Standard) / CS2240/CS2322 / YES / NO / CSL G2 (IP Variant) / CS2270 / YES / NO
CSL G3 (Standard) / CS2340/CS2312 / YES / NO / CSL G3 (IP Variant) / CS2370 / YES / NO
CSL G4 (Standard) / CS2412 / YES / NO / CSL G4 (IP Variant) / CS2470 / YES / NO
CSL G2 (UDL) / CS5320 / YES / NO / Signalling FORMAT / Fast Format / SIA / Ecode
CSL G3 (UDL) / CS5330 / YES / NO / Signalling FORMAT / Fast Format / SIA / Ecode
CSL G4 (UDL) / CS5344 / YES / NO / Signalling FORMAT / Fast Format / SIA / Ecode
Additional equipment required (Please specify)
Delivery Address (Only if not to the Alarm Company)
Site - Name / Equipment already held / YES / NO
Address 1
Address 2 / SIM No
City / Data No
County
Post Code / Please tick to accept reconnection fee
Phone Number

Site Name & Address

Site - Name / Contract No (Alt ID)
Address 1 / System Type / Commercial / Domestic
Address 2 / Chip/System No
City
County / Remote Reset Type
Post Code
Phone Number / Form Purpose / NEW / Up-Grade / Transfer / Takeover
Key Holder Details
Global Password
Contact 1 Name / Contact 1 Password
Mob Tel 1 / Tel 2
Contact 2 Name / Contact 2 Password
Mob Tel 1 / Tel 2
Contact 3 Name / Contact 3 Password
Mob Tel 1 / Tel 2
Authority Details
Police Authority / Fire Authority
INTRUDER URN / Fire URN
PA URN
Zone / Alarm Responses
PRIMARY SERVICES / REQUIRED / FAST FORMAT (UDL) / SIA (UDL Only) / ECODE (UDL Only) / Closed (Open)
FIRE / YES/NO / 1 (8001) / FA / E110 / PR,FB,CO
PA / YES/NO / 2 (8002) / PA/HA / E120 / PF
INT (Un Confirmed / YES/NO / 3 (8003) / BA / E130 / CO (PR,CO)
INT (Confirmed) / YES/NO / 7 (8007) / BV / E139 / PF,CO
Open / Closing / YES/NO / 4 (8004) / OP/CL / E401/R401 / Log Only
COMM FAILURES / REQUIRED / FAST FORMAT / SIA (UDL Only) / ECODE (UDL Only) / Closed (Open)
GPRS PATH / CMRS Assign / 15 / YC/YK9016 / YC/YK9016 / CO (PR,CO)
PSTN PATH / CMRS Assign / 16 / YC/YK9012 / YC/YK9012 / CO (PR,CO)
IP PATH / CMRS Assign / 14 / YC/YK9010 / YC/YK9010 / CO (PR,CO)
POLLING / CMRS Assign / 13 / - / - / Log Only
POLLING (DigiAir) / CMRS Assign / YC/YK9021 / YC/YK9021 / YC/YK9021 / Log Only
DUAL PATH / CMRS Assign / 13 / YC/YK9021 / YC/YK9021 / CO (PR,CO)
FAULT SERVICES / REQUIRED / FAST FORMAT (UDL) / SIA (UDL Only) / ECODE (UDL Only) / Closed (Open)
AC MAINS / YES/NO / 5 (8005) / AT / E301 / CO (PR,CO)
LOW BATTERY / YES/NO / YT / E302 / CO (PR,CO)
ZONE OMIT / YES/NO / 6 (8006) / _B / E570 / CO
SYSTEM FAULT / YES/NO / 8 (8008) / _T / CO (PR,CO)
TAMPER / YES/NO / 12 (8012) / TA / E137 / CO (PR,CO)
Other SERVICES / REQUIRED / FAST FORMAT / SIA (UDL Only) / ECODE (UDL Only) / Closed (Open)
YES
YES
YES

I confirm that the subscriber above has been given a copy of the CMRS Alarm Receiving Centre response to the above activation’s and relevant Police Policy. I have read and understand the procedures contained in the current Administrative and Operational Booklet which may be updated from time to time, and I abide by CMRS Standard Terms and Conditions of Contract.

Contact Name / Signature / Date / / /

To order your service please email the completed form above to:

CSL087- Issue 8 (Oct 2013)