Update Call List – Residential

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Residential Call List

Residential Monitoring Call List Update Form

Occupant's Name

Email Address

Home Address

City

State

Zip Code

Home Phone

Number of levels/floors?

Is this an apartment or condo complex?

If yes, what floor are you on?

I understand that Fire, Medical, Hold-up, and Panic Alarms will be dispatched upon receipt of the signal in the Monitoring Station and that Burglary Alarms will be handled as I have designated below.

I have read and accept this notice.

Please select ONE of the following procedures you wish CSC to follow for a Burglary Alarm Signal.

Single Call Verification (CSC will call the primary number listed below before dispatching the authorities.) Two Call Verification (CSC will call the primary phone number and, if needed, the secondary phone number listed below before dispatching the authorities.)

Please select the option indicating that you do or do not want to be contacted for: Low battery, power loss, or failure to communicate between the hours of 10pm and 7am.

Yes, I do want to be contacted. No, I do not want to be contacted. Contact me by email only.

IMPORTANT

• If you accidentally set off your alarm, please call CSC right away at (317) 543-1300 or (800) 627-7367.

• You must give your password to CSC when an alarm is reported, failure to give your password may result in an improper/unneeded authority response.

• CSC is not responsible for fines from your local authorities due to false alarms.

I understand and accept these notices.

Emergency Call List

Name

Primary Phone

Secondary Phone

Password

Authorized to Make Changes?

Yes No

Additional Users

Name

Password

Authorized to Make Changes?

Yes No

Signature (Type Full Name)

Date

READY TO DO THIS?

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