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Client Intake Form
Full Name
Email Address
Phone Number
Street Address
City
State
ZIP
Type of Property
Residential
Commercial
Number of Cameras
1
2
3
4
5
6
7
8
9+
Preferred Monitoring Hours
Overnight
Daytime
Custom
Type of Surveillance System
Monitoring Software Used
Remote Access Method
Do you have authorization to access the cameras?
Yes
No
Do you grant CMS permission to monitor your system?
Yes
No
Describe Your Surveillance Needs
I understand that I will be required to read and sign a Residential Service Policy Agreement.
I acknowledge I will be required to submit additional documentation related to ownership or proof of residency.
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