SAMS Commissioning Form

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Bureau Details
Email address for a copy of the form to be sent to
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Client Details


Zone 1
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Zone 2
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Zone 3
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Zone 4
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Zone 5
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Zone 6
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Zone 7
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Zone 8
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Zone 9
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Zone 10
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Zone 11
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Zone 12
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Zone 13
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Zone 14
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Zone 15
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Zone 16
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After Hours contact - up to 5

Afterhours 1
Afterhours 2
Afterhours 3
Afterhours 4
Afterhours 5
Patrol Company

NB: All patrol fees & charges are at the customers expense
Patrol Details

Users - Up to 6

User 1
User 2
User 3
User 4
User 5
User 6

Time Management (if required)

**Please Note: Saturday, Sunday & Public Holidays will be treated the same as Monday to Friday unless otherwise indicated or notified in writing
Earliest Open / Latest Close
If closed make open and close both 0:00

Cleaner Open / Close
If closed make open and close both 0:00

System Information

Select this to add alternate comms device

Alarm Response Instructions

Please ensure one response is selected for each section:
Install Type

In some States the monitoring centre can send the Fire Service but not all.


Terms & Conditions

Terms & Conditions
* All sections must be completed
* Requests for Alarm Response outside of the standard responses listed must be approved by SAMS Management.
* All client data must be provided prior to or at time of system commissioning.
* Security Alarm Monitoring Service reserves the right to refuse commissioning if Terms & Conditions have not been satisfied
Customer Acceptance
By submitting this form you will have the option to make changes, be sure to click confirm to complete

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