Contact List - Fire Monitoring Canada

Customer Contact List

Customer contact form to establish their emergency contact list and instructions.

Your Information
Contact information for the person submitting the form
Name*

Your full name
Email

Your email address
Phone Number:*

Your phone number

Client Service Representative*

Please select your Client Service Representative from the drop down menu.
Street Address*

Building’s street address
City/Town*

City or town where the building is located
Postal Code*

Postal code of the building
Building Name

Name of building (if applicable)
Phone Number at Building*

What is the main phone number of the building?

Customer Call List

Minimum 3 contacts are required

Last Name	First Name	Phone #	Phone Type (Home, cell, etc)	System Password

Special Instructions

Please include any special call instructions regarding calling times and days. For example, Only call Joe Smith M-F from 7 p.m. – 5 a.m.

Do you have specific call patterns (who is called first to last) dependent on the type of alarm that is activated, which would differ from the standard call list provided above?*
- Yes
- No

Name Incident Type For Call Pattern 1

(ie. fire alarm, intrusion alarm, temperature alarm, etc.)

Call Pattern 1*

Name	Phone Number 1	Phone Number 2 (if applicable)

Name Incident Type For Call Pattern 2

(ie. fire alarm, intrusion alarm, temperature alarm, etc.)

Call Pattern 2

Name	Phone Number 1	Phone Number 2

Check box below if pattern is the same as Call Pattern 1
- Repeat Action Pattern 1

Special Call Pattern

Incident Type	Name	Phone Number

Specify when this action pattern becomes applicable
Name

This field is for validation purposes and should be left unchanged.

Are you ready to submit the list of users who will have unique codes for your alarm system?*
- Yes
- No

Please enter your Usernames and Codes.

Username	Code

Submit