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

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* 2. Date of incident

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* 3. City and state of incident for customer premise

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* 4. City and state of receiving central station

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

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

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

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

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

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* 10. Communication format being used

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* 11. Type of Alarm

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* 12. Central Station Receiver being used for this account

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* 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?

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

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* 15. Telephone provider at the customer premise if known

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* 16. Manufacturer of the panel installed

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

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

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