* 1. • Incident ID Number (Whatever means you wish for internal identification of this specific event)

* 2. Date of incident

* 3. City and state of incident for customer premise

* 4. City and state of receiving central station

* 5. Time of incident, including time zone (ET, CT, PT, other)

* 6. 10-digit originating phone number (the phone number of the panel at premise in question (xxx) xxx-xxxx) 

* 7. Is the panel dialing a DID (local number) or toll free number?

* 8. Is the number that the panel is dialing being RCF (Remote Call Forwarded) or pointed to another number (DID)?

* 9. Description of the incident (Include your incident ID number and use your own words to describe what you believe happened)

* 10. Communication format being used

* 11. Type of Alarm

* 12. Central Station Receiver being used for this account

* 13. If available, email Sur-Gard debug file or any .wav file recording of the event to DACTsurvey@csaaintl.org. Please include your incident ID number in the text of the email so that the file can associated with your questionnaire response. Are you emailing a sound file?

* 14. Telephone provider of the central station service on which the incident occurred

* 15. Telephone provider at the customer premise if known

* 16. Manufacturer of the panel installed

* 17. Model number of the panel installed, if known

* 18. Your name, company, and email address (so we can contact you with follow up questions)

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