NPCC Policy on Police Response to Security Systems (June 2018) / Appendix F
NOTICE OF: / Application for a Unique Reference Number (URN)Application to reinstate a URNVariation to an existing security system / INT URN / 1
Variation Reason(s): / Upgrade to confirmationSignalling amendmentNew userChange of user nameAddress amendmentAdditional featuresTakeover from another maintainerChange of Alarm Receiving CentreMaintenance contract cancelledSystem removedChange of sounder delay / Installation Date: / HUA URN / 2
Upgrade to confirmationSignalling amendmentNew userChange of user nameAddress amendmentAdditional featuresTakeover from another maintainerChange of Alarm Receiving CentreMaintenance contract cancelledSystem removedChange of sounder delay / Variation Date: / URN / 3

Data Protection Act 2018& General Data Protection Regulation. Personal data suppliedon this form may be held on and/or verified by reference to information already held on computer

Name of Alarm
Receiving Centre / Name of Installer / Name of Maintainer
Police Ref: / Police Ref: / Police Ref:
Address / Address / Address
e-mail / e-mail
Tel: / Tel: / Tel:
DETAILS OF PROTECTED PREMISES
Householder / Title: / Initial(s):
Surname:
Business Name:
Trading/Signage/building/ other Name
Description of Building
Address:
Address:
Town:
County:
Postcode: / Tel: / INC .STDcode)mobile / (Protected Premises)
mobile
 / E-mail address
Type of Premises: / RetailCommercialPublic SectorLicencedDomesticIndustrialBank or FinancialInstitutionalOther
If other, state: / O/S Grid Map Ref FIG
Directions from main road:
(Rural / new sites)

Data Protection Act 2018& General Data Protection Regulation. Personal data suppliedon this form may be held on and/or verified by reference to information already held on computer

TYPE OF SYSTEM
Intruder AlarmHold Up AlarmCombined Int/HUACCTVVehicle trackingLone WorkerCAT 5
TYPE OF CONFIRMATION
AudioVisualSequentialAudio and SequentialVisual and SequentialVisual and AudioVisual, Audio and SequentialCall Back
ADDITIONAL FEATURES
NoneSmoke GeneratorCCTVLightingAccess controlForensic MarkerSmoke Raid Control (HUA)
GRADE OF SYSTEM
Grade2Grade3Grade4
STANDARD TO WHICH INSTALLED
BS 4737PD6662 2004 + DD243 2004PD6662 2010 + BS8243PD6662 2017 + BS8243BS 4737 + DD: 243:2002BS 4737 + DD: 243:2004BS 7042BS 6799 Class VIBS 8243BS8484BS 8418 2003BS 8418 2010BS 8418 2015CAT 5
EXISTING URN NO.
Int / CCTV
HUA / Veh tracking
PREVIOUS USER (Company name when applicable)
ADMIN FEE / SOUNDER DELAY
ApplicableNot Applicable / 0 Minutes5 Minutes10 Minutes15 Minutes
CERTIFICATE/CONTRACT NO:
Print Name:
Position in company:
Date:

Data Protection Act 2018& General Data Protection Regulation. Personal data suppliedon this form may be held on and/or verified by reference to information already held on computer

If this form is not completed as appropriate or the Hazard and Site Risk statement or the fee is not enclosed it will be returned unprocessed
POLICE USE ONLY

Data Protection Act 2018& General Data Protection Regulation. Personal data suppliedon this form may be held on and/or verified by reference to information already held on computer