24 Hour Central Station Monitoring

Alarm Monitoring Information Form

Please provide the information below so that we can transfer to a hardcopy agreement and mail to your home.   Before placing your account on-line we will arrange a time to "test" that your alarm panel is properly sending signals to our Central Station.   Information we will provide includes: Four-digit central station ID Central Station telephone number (toll-free) Signalling format - Contact ID if an Ademco panel We can supply simple instructions (memory locations) for how to program your panel for monitoring if requested.

Your alarm panel must be connected to a POTS (Plain Old Telephone Service) line for Central Station monitoring to function.  This is your normal telephone line that your local telephone company provides.  You do NOT need a dedicated telphone line for Central Station monitoring - you can share your existing circuit with the alarm panel.  We strongly suggest however that your panel is plugged into a properly installed RJ31X telephone interface jack.  This can be installed by your local telephone company or of course yourself (DIY).

Dealer Name (if applicable) Receiver/Account Number (if known) Name (Last, First) Street City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconson Wyoming State Zip Email Address Location Telephone Number This is the telephone number the Central Station will call to "verify" the alarm before dispatch Panel Telephone Number This is the telephone contacted to the panel - may be the same as Location Telephone number. Alarm Panel Model Special Instructions Passcode/Password This is the passcode you will give to the Central Station to prove you are the subscriber. Special Options (commercial) Open/Close Reporting 24-Hour Supervised Test Zone Number Zone Description Police Fire Zone 1 Zone 2 Zone 3 Zone 4 Zone 5 Zone 6 Zone 7 Zone 8 Zone 9 Zone 10 Zone 11 Zone 12 Zone 13 Zone 14 Zone 15 Zone 16 Zone 17 Zone 18 Zone 19 Zone 20 Zone 21 Zone 22 Zone 23 Zone 24 Zone 25 Zone 26 Zone 27 Zone 28 Zone 29 Zone 30 Zone 31 Zone 32 Zone 33 Zone 34 Zone 35 Zone 36 Zone 37 Zone 38 Zone 39 Zone 40 Zone 41 Zone 42 Zone 43 Zone 44 Zone 45 Zone 46 Zone 47 Zone 48 Zone 49 Zone 50 Zone 51 Zone 52 Zone 53 Zone 54 Zone 55 Zone 56 Zone 57 Zone 58 Zone 59 Zone 60 Zone 61 Zone 62 Zone 63 Zone 64 Subscriber Contacts These are the people (may be yourself) that the Central Station will attempt to reach should your panel signal an alarm. Contact Name 1 Telephone Number Contact Name 2 Telephone Number Contact Name 3 Telephone Number Authorities Please provide the telephone numbers for your local authorities.  Do NOT use 911. Police Department Telephone Number Fire Department Telephone Number Medical Telephone Number We will snail-mail you a hardcopy of the Central Station Monitoring Agreement for signature based upon the information you have provided.

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