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 *
EMAIL TO: CJELECTRONICS@COMCAST.NET
*** 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 EMAIL this information.
Voice: 856-728-7826
THANK YOU! (c) 2020
PRINT THIS FORM FROM YOUR BROWSER USING YOUR BROWSERS PRINT FUNCTION.
FILL IN APPROPRIATE INFORMATION AND EMAIL TO CJELECTRONICS@COMCAST.NET
CJ Electronics Security Systems
Since 1981