CMRS Monitoring DIGICOMApplication 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
CHIP Required / YES / NO / TYPE / POLARITY

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 / FA / E110 / PR,FB,CO
PA / YES/NO / 2 / PA/HA / E120 / PF
INT (Un Confirmed) / YES/NO / 3 / BA / E130 / CO (PR,CO)
Open / Closing / YES/NO / 4 / OP/CL / E401/R401 / Log Only
INT (Confirmed) / YES/NO / 7 / BV / E139 / PF,CO
FAULT SERVICES / REQUIRED / FAST FORMAT / SIA FORMAT / ECODE FORMAT / Closed (Open)
AC MAINS / YES/NO / 5 / AT / E301 / CO (PR,CO)
LOW BATTERY / YES/NO / YT / E302 / CO (PR,CO)
ZONE OMIT / YES/NO / 6 / _B / E570 / CO
SYSTEM FAULT / YES/NO / 8 / _T / CO (PR,CO)
COMM FAILURES / REQUIRED / No extra charge / Chargeable
24hr Test / YES/NO / To be reported by / Report / Operator response
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- 1 Issue 10 (Apr 2015)