CMRS Monitoring WebwayApplication 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 Installed – Ensure you clearly indicated the Equipment used
Product / Grade / Polling / Path Options / CMRS Ref / Select
Communicator / G2 / 25 Hour / IP/GPRS or GPRS/PSTN / IPW2C1 / Yes/No
Communicator / G3 / 5 Hour / IP/GPRS or GPRS/PSTN / IPW3C2 / Yes/No
Communicator / G3 / 1 Hour / IP/GPRS or GPRS/PSTN / IPW3C3 / Yes/No
Communicator / G4 / 6 Mins / GPRS/PSTN / IPW4C4 / Yes/No
Communicator / G4 / 3 Mins / IP/GPRS / IPW4C5 / Yes/No
Smart / G2 / 25 Hour / IP/GPRS or GPRS/PSTN / IPW2S1 / Yes/No
Smart / G3 / 5 Hour / IP/GPRS or GPRS/PSTN / IPW3S2 / Yes/No
Smart / G3 / 1 Hour / IP/GPRS or GPRS/PSTN / IPW3S3 / Yes/No
Smart / G4 / 6 Mins / GPRS/PSTN / IPW4S4 / Yes/No
Smart / G4 / 3 Mins / IP/GPRS / IPW4S5 / Yes/No
Go / G2 / 25 Hour / IP Only / IPW2G1 / Yes/No
Go / G2 / 25 Hour / GPRS Only / IPW2G2 / Yes/No
Go / G3 / 5 Hour / IP or GPRS / IPW3G3 / Yes/No
Go / G3 / 1 Hour / IP or GPRS / IPW3G4 / Yes/No
Go Plus / G2 / 25 Hour / IP or GPRS / IPW2P1 / Yes/No
Go Plus / G3 / 5 Hour / IP or GPRS / IPW3P2 / Yes/No
Go Plus / G3 / 1 Hour / IP or GPRS / IPW3P3 / Yes/No

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 / FireAuthority
INTRUDER URN / Fire URN
PA URN
Zone / Alarm Responses – Ensure you Select the Zones to be configured and Delete Format not required
PRIMARY SERVICES / REQUIRED / FAST FORMAT / SIA FORMAT / ECODE FORMAT / 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)
Open / Closing / YES/NO / 4 (8004) / OP/CL / E401/R401 / Log Only
INT (Confirmed) / YES/NO / 7 (8007) / BV / E139 / PF,CO
FAULT SERVICES / REQUIRED / FAST FORMAT / SIA FORMAT / ECODE FORMAT / 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)
COMM FAILURES / REQUIRED / FIXED FORMAT / Closed (Open)
GPRS PATH / CMRS Assign / YC/YK9015 / CO (PR,CO)
PSTN PATH / CMRS Assign / YC/YK9012 / CO (PR,CO)
IP PATH / CMRS Assign / YC/YK9010 / CO (PR,CO)
DUAL PATH / CMRS Assign / YC/YK9021 / CO (PR,CO)
Other SERVICES / REQUIRED / FAST FORMAT / SIA FORMAT / ECODE FORMAT / 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:

CSL087-6 Issue 10 (Dec 2014)