Central One
New Dealer Information Form
Fax this completed form to 561-998-1831 or mail to Central One, Suite 200, 701 Park of Commerce Blvd NW, Boca Raton, FL  33487

Company Name: _____________________________________

Address: __________________________________________

Address: __________________________________________

City: ________________________  State: ___  Zip: ______________

Main Phone: _______________ (for Central One to call your office).

24hr Phone: _______________ or [] notify employee on call (to call when a signal contains the instruction “notify dealer”.

Fax Phone:  _______________

Telephone numbers that can be given to subscribers and the public:

Coverage area: _____________________  Phone: ______________

Coverage area: _____________________  Phone: ______________

Coverage area: _____________________  Phone: ______________

Coverage area: _____________________  Phone: ______________

When a subscriber wants to update account information:

   [] Central One may accept the changes.

   [] Changes must be made through the dealer’s office.

If a burglar alarm dispatch would result in a fine:

   [] Dispatch anyway as normal.

   [] Notify a callout first, mention the fine, ask whether to dispatch.

If an undefined (invalid) signal is received:

   [] notify dealer next day via the trouble signal report

   [] notify dealer immediately for instructions

   [] other: ___________________________________________________

Dealer’s normal office hours:

 

Sun

Mon

Tue

Wed

Thu

Fri

Sat

Open

 

 

 

 

 

 

 

Close

 

 

 

 

 

 

 


The following MUST BE RECEIVED before monitoring begins:

     Copy of Contractor’s License

     Liability Insurance Certificate

Alarm Contractor’s Liability Insurance:

Carrier Name: ____________________________________________

Agent’s Name: ____________________________________________

[] Certificate Attached  [] Agent’s Phone: _______________

Amount $_________________ [] includes errors and omissions

Alarm Contractor’s License:

Issued By: ____________________________________________

License Number: _______________  [] Copy Attached

Qualifier’s Name: _____________________________________

State Sales Tax Exemption Number (Florida dealers only):

_______________________________________________________
[] resale certificate or card attached

Sales tax will be charged for monitoring done before exemption certificate is received.

Type of Company:  [] sole proprietorship [] partnership [] LLC

                  [] corporation (State: ____)

                  [] other ___________________________________

 

Owner #1

Owner #2

Owner #3

Name

 

 

 

Title

 

 

 

Address

 

 

 

Address

 

 

 

City

 

 

 

State

 

 

 

Zip

 

 

 

Home Phone

 

 

 

Cell Phone

 

 

 

Email

 

 

 

 


Each of your employees needs an employee number and four digit pin to identify himself when using FaxBack, our touch tone computer interface, or when speaking to an operator.  For any employees who will be on call you should also provide telephone numbers that the central station operators may use to make notifications. Note that employee zero is special and can change any employee’s pin codes.  Employee zero should be an owner or manager.

Put “Y” for yes in the “FM” (full menu) column if you want this employee to have full menu access to subscriber information.  Place “N” for no in this column to restrict information access to alarm history and placing accounts on test.

Please indicate each phone number type, such as home, beeper, cell, etc.

#

Pin

Name

FM

Call First

Call Second

Call Third

0

 

 

Y

never on call

never on call

never on call

1

 

 

 

 

 

 

2

 

 

 

 

 

 

3

 

 

 

 

 

 

4

 

 

 

 

 

 

5

 

 

 

 

 

 

6

 

 

 

 

 

 

7

 

 

 

 

 

 

8

 

 

 

 

 

 

9

 

 

 

 

 

 

10

 

 

 

 

 

 

11

 

 

 

 

 

 

12

 

 

 

 

 

 

13

 

 

 

 

 

 

14

 

 

 

 

 

 

15

 

 

 

 

 

 

16

 

 

 

 

 

 

17

 

 

 

 

 

 

18

 

 

 

 

 

 

19

 

 

 

 

 

 

20

 

 

 

 

 

 


Certain of your employees will need access to Central One’s remote terminal.  If an employee on this list also has a pin number above you should use the same employee number.  If not you should start assigning new numbers with number twenty-one.

Place a “Y” for yes to give an employee access to the five categories indicated as follows:

F2 – Edit Accounts.  If yes, the employee can edit subscriber data.  If no the employee can only view subscriber data.

F3 – View Company.  If yes, the employee can view dealer company data.

F4 – Edit Company.  If yes, the employee can edit company data including pin numbers and remote terminal access codes.

Print Data.  If yes, the employee can print all reports.  If no, the employee can only print daily reports and alarm history.

After Hours.  If yes, the employee can log on to the remote terminal any time.  If no, the employee can only log on during your normal business hours plus a window of ____ minutes early and ____ minutes late.

#

Employee Name

F2-Edit
Accounts

F3-View
Company

F4-Edit
Company

Print
Data

After
Hours