Technical Information Proforma

Technical information proforma (SEC101)

(To be completed and forwarded to this office prior to commissioning.)
Fax to: / State Government Security / Phone: / 3224 6666 / Fax: / 3225 8705
Fax From: / Phone: / Fax:
Client name: / Client code:
(+ Please note client codes will not be issued unless all paperwork is received by this office.)
Address:
Contact name: / Phone: / Fax:
Installation co: / Phone:
Installed by: / Signed: / Date:
Warranty period: / mths / (6 months/12 months)
Pin codes / Master code: / Installer code:
System information / Panel type:
Panel location:
Communication details / Panel phone no:
Fax/answer defeat / (y/n) / *no of rings: / no of calls:
*Security code:
(*TECOM only)
QBuild inspecting officer : Printed name______Signature______
Keypad locations / Expander locations
1. / 1.
2. / 2.
3. / 3.
4. / 4.
5. / 5.
6. / 6.
7. / 7.
8. / 8.
9. / 9.
10. / 10.

Please include: A4 size map of site showing: panel, expanders, terminals, detectors (PIRS, mag reeds, smoke

detectors) sirens, using standard symbols.

+ There may be additional requirements for school installations.

Privacy notice:
The Department of Public Works is collecting information on this form, including personal information, for the purpose of finalising a contract for the delivery of services. The Department will not disclose your personal information to any other third parties or use it for another purpose without your consent, unless authorised or required by law.

Uncontrolled copy when printed