Account Number (CS#)__________________
Account Number (CS#)_______________________
NEW ACCOUNT SET-UP FORM Date:
Name:_______________________________________ Dealer:_____________________________
Address:_____________________________________ Signature:___________________________
_____________________________________ Premise#1: ( )____________________
City/State/Zip:_________________________________ Premise#2: ( )____________________
Residential Commercial
Supervised Timer Test (additional charges): Daily Weekly Monthly (no charge)
Password(s) ________________ & _________________
Panel Type/Format:__________________________ Template:___________________________
DSC Connect 24: GSM model_________________ Sim card #:______________________________
DSC Connect 24: Cell usage rate: 25msg (backup) , 100msg (primary) , 4mg (UL Fire)
Alarmnet: Must be setup as a dealer with us first and be issued a City/CS code and account block before directly contacting to setup GSM/IGSM/IP/TotalConnect
Emergency Numbers:
PD Dispatch Agency Name:________________________ Phone#: ( )____________________
FD Dispatch Agency Name:________________________ Phone#: ( )____________________
Responsible Party Contact Information:
Name: Phone#: PA/User#:
1. _________________________________ ( )______________________ __________
2. _________________________________ ( )______________________ __________
3. _________________________________ ( )______________________ __________
4. _________________________________ ( )______________________ __________
5. _________________________________ ( )______________________ __________
6. _________________________________ ( )______________________ __________
7. _________________________________ ( )______________________ __________
8. _________________________________ ( )______________________ __________
Comments:_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Page 1 of 3
Account Number (CS#)_______________________
NEW ACCOUNT SET-UP FORM Date:
Zone: Signal State: A-alarm T-trouble R-restore Location of device:
Audible? Response or Event:
Zone: Signal State: A-alarm T-trouble R-restore Location of device:
Audible? Response or Event:
Zone: Signal State: A-alarm T-trouble R-restore Location of device:
Audible? Response or Event:
Zone: Signal State: A-alarm T-trouble R-restore Location of device:
Audible? Response or Event:
Zone: Signal State: A-alarm T-trouble R-restore Location of device:
Audible? Response or Event:
Zone: Signal State: A-alarm T-trouble R-restore Location of device:
Audible? Response or Event:
Code: Signal State: A-alarm T-trouble R-restore Location of device:
Audible? Response or Event:
Zone: Signal State: A-alarm T-trouble R-restore Location of device:
Audible? Response or Event:
Zone: Signal State: A-alarm T-trouble R-restore Location of device:
Audible? Response or Event:
Zone: Signal State: A-alarm T-trouble R-restore Location of device:
Audible? Response or Event:
Zone: Signal State: A-alarm T-trouble R-restore Location of device:
Audible? Response or Event:
Account to be activated upon data entry completion. Keep account inactive
Place active account on test until: Date:_________________ Time:__________________
All Signals.
List: ____________________________________________
Page 2 of 3
Account Number (CS#)_______________________
NEW ACCOUNT SET-UP FORM Date:
Supervised Hours of Site (additional charge):
Open Early/Late Window Close Early/Late Window
Monday _______ _______ _______ _______
Tuesday _______ _______ _______ _______
Wednesday _______ _______ _______ _______
Thursday _______ _______ _______ _______
Friday _______ _______ _______ _______
Saturday _______ _______ _______ _______
Sunday _______ _______ _______ _______
Fail to Open: Yes or No Fail to Close: Yes or No
Passcard/User:
Name: Passcard# User#
______________________ ________ ______
______________________ ________ ______
______________________ ________ ______
______________________ ________ ______
______________________ ________ ______
______________________ ________ ______
______________________ ________ ______
______________________ ________ ______
Dealer Signature: __________________________________ Date:___________________________
Page 3 of 3
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