PRINT THIS FORM FROM YOUR BROWSER USING YOUR BROWSERS PRINT FUNCTION.
FILL IN APPROPRIATE INFORMATION AND FAX TO 856-740-2550
FILL IN APPROPRIATE INFORMATION AND FAX TO 856-740-2550
CJ ELECTRONICS SECURITY SYSTEMS
CENTRAL STATION MONITORING
SETUP & CHANGE FORM
Confidential – Keep Safe!
Customer: ______________________________________________________________
Location Address: ________________________________________________________
City: _______________ State: ___ Zip: ________ Daytime Phone: ( )_____-________
PLEASE PROVIDE THE FOLLOWING ALARM SYSTEM MONITORING INFORMATION
* ONLY FILL IN THOSE SPACES THAT ARE APPLICABLE TO YOUR SETUP OR CHANGE *
FAX BACK TO: 856-740-2550
*** DO NOT MAIL! ***
PASSWORD(S) - YOU MAY HAVE MORE THAN ONE IF YOU WISH. Example, a password for each person authorized to ARM, DISARM the alarm system and STOP AUTHORITY DISPATCH.
YOU CAN USE NAMES, NUMBERS OR A COMBINATION OF BOTH. Make sure you can spell any passwords you choose. During a false alarm, you may be asked by Central Station to spell the password.
NOTE: When used for COMMERCIAL FIRE ALARMS, password(s) are used for SYSTEM TESTS ONLY, NOT FALSE ALARMS! ALL COMMERCIAL FIRE “ALARMS” MUST BE DISPATCHED BY LAW.
PASSWORD EXAMPLES: “121150” “ TERRY” “ BOBBY1234” “ 188JACK”
PLEASE PRINT
______________________ ______________________ _______________________
NOTIFICATION CALL LIST - YOU MAY INCLUDE CELL PHONE NUMERS, PAGER NUMBERS, ETC. UP TO FOUR (4) NAMES & PHONE NUMBERS.
(Notification stops after first contact is made.) PLEASE PRINT
FIRST AND LAST NAME OF CONTACT PERSON INCLUDING PHONE NUMBER WITH AREA CODE
FIRST & LAST NAME_________________________________ PHONE (_____)________-________
FIRST & LAST NAME_________________________________ PHONE (_____)________-________
FIRST & LAST NAME_________________________________ PHONE (_____)________-________
FIRST & LAST NAME_________________________________ PHONE (_____)________-________
FOUR (4)-DIGIT-LONG ARM & DISARM CODE (USER CODE) You can have one or more user codes.
EXAMPLES: 0012 2178 9394 5461 1101 2278
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Signature of authorized person making this request: ___________________________________________
Your name PRINTED:_________________________________________________
NOTE: You MUST sign and print your name for any changes to be made.
Please remember to FAX this information.
Fax #: 856-740-2550 Voice: 1-800-377-0979
THANK YOU!
CENTRAL STATION MONITORING
SETUP & CHANGE FORM
Confidential – Keep Safe!
Customer: ______________________________________________________________
Location Address: ________________________________________________________
City: _______________ State: ___ Zip: ________ Daytime Phone: ( )_____-________
PLEASE PROVIDE THE FOLLOWING ALARM SYSTEM MONITORING INFORMATION
* ONLY FILL IN THOSE SPACES THAT ARE APPLICABLE TO YOUR SETUP OR CHANGE *
FAX BACK TO: 856-740-2550
*** DO NOT MAIL! ***
PASSWORD(S) - YOU MAY HAVE MORE THAN ONE IF YOU WISH. Example, a password for each person authorized to ARM, DISARM the alarm system and STOP AUTHORITY DISPATCH.
YOU CAN USE NAMES, NUMBERS OR A COMBINATION OF BOTH. Make sure you can spell any passwords you choose. During a false alarm, you may be asked by Central Station to spell the password.
NOTE: When used for COMMERCIAL FIRE ALARMS, password(s) are used for SYSTEM TESTS ONLY, NOT FALSE ALARMS! ALL COMMERCIAL FIRE “ALARMS” MUST BE DISPATCHED BY LAW.
PASSWORD EXAMPLES: “121150” “ TERRY” “ BOBBY1234” “ 188JACK”
PLEASE PRINT
______________________ ______________________ _______________________
NOTIFICATION CALL LIST - YOU MAY INCLUDE CELL PHONE NUMERS, PAGER NUMBERS, ETC. UP TO FOUR (4) NAMES & PHONE NUMBERS.
(Notification stops after first contact is made.) PLEASE PRINT
FIRST AND LAST NAME OF CONTACT PERSON INCLUDING PHONE NUMBER WITH AREA CODE
FIRST & LAST NAME_________________________________ PHONE (_____)________-________
FIRST & LAST NAME_________________________________ PHONE (_____)________-________
FIRST & LAST NAME_________________________________ PHONE (_____)________-________
FIRST & LAST NAME_________________________________ PHONE (_____)________-________
FOUR (4)-DIGIT-LONG ARM & DISARM CODE (USER CODE) You can have one or more user codes.
EXAMPLES: 0012 2178 9394 5461 1101 2278
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Signature of authorized person making this request: ___________________________________________
Your name PRINTED:_________________________________________________
NOTE: You MUST sign and print your name for any changes to be made.
Please remember to FAX this information.
Fax #: 856-740-2550 Voice: 1-800-377-0979
THANK YOU!
Since 1981
