XHS Installation Log

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Tech # *

Date *

Tech Name *

First

Last

Do you want a copy of this form emailed to you? *

Yes
No

Tech Email *

Office Location *

Customer Name *

First

Last

Customer Address *

Address Line 1

Address Line 2

City

State

Zip Code

Customer Phone # *

Customer Account # *

Security CPE Installed *

Door & Window Sensors
Motion Sensors
Keypad
Cameras
Touch Screen
Smoke Detectors
Router
Smart Office Cameras
Switch
Doorbell
EPON

Check all that apply

EPON Serial # *

How many Door & Window Sensors were installed? *

Max amount - 30

Door & Window Sensor Serial # *

Door & Window Sensor Serial # 2 *

Door & Window Sensor Serial # 3 *

Door & Window Sensor Serial # 4 *

Door & Window Sensor Serial # 5 *

Door & Window Sensor Serial # 6 *

Door & Window Sensor Serial # 7 *

Door & Window Sensor Serial # 8 *

Door & Window Sensor Serial # 9 *

Door & Window Sensor Serial # 10 *

Door & Window Sensor Serial # 11 *

Door & Window Sensor Serial # 12 *

Door & Window Sensor Serial # 13 *

Door & Window Sensor Serial # 14 *

Door & Window Sensor Serial # 15 *

Door & Window Sensor Serial # 16 *

Door & Window Sensor Serial # 17 *

Door & Window Sensor Serial # 18 *

Door & Window Sensor Serial # 19 *

Door & Window Sensor Serial # 20 *

Door & Window Sensor Serial # 21 *

Door & Window Sensor Serial # 22 *

Door & Window Sensor Serial # 23 *

Door & Window Sensor Serial # 24 *

Door & Window Sensor Serial # 25 *

Door & Window Sensor Serial # 26 *

Door & Window Sensor Serial # 27 *

Door & Window Sensor Serial # 28 *

Door & Window Sensor Serial # 29 *

Door & Window Sensor Serial # 30 *

How many motion sensors were installed? *

Max amount - 6

Motion Sensor Serial # *

Motion Sensor Serial # 2 *

Motion Sensor Serial # 3 *

Motion Sensor Serial # 4 *

Motion Sensor Serial # 5 *

Motion Sensor Serial # 6 *

How many keypads were installed?

Max amount - 4

Keypad Serial # *

Keypad Serial # 2 *

Keypad Serial # 3 *

Keypad Serial # 4 *

How many cameras were installed? *

Max amount - 6

Camera Serial # *

Camera Serial # 2 *

Camera Serial # 3 *

Camera Serial # 4 *

Camera Serial # 5 *

Camera Serial # 6 *

Touch Screen Serial # *

How many smoke detectors were installed? *

Max amount 15

Smoke Detector Serial # *

Smoke Detector Serial # 2 *

Smoke Detector Serial # 3 *

Smoke Detector Serial # 4 *

Smoke Detector Serial # 5 *

Smoke Detector Serial # 6 *

Smoke Detector Serial # 7 *

Smoke Detector Serial # 8 *

Smoke Detector Serial # 9 *

Smoke Detector Serial # 10 *

Smoke Detector Serial # 11 *

Smoke Detector Serial # 12 *

Smoke Detector Serial # 13 *

Smoke Detector Serial # 14 *

Smoke Detector Serial # 15 *

Router Serial # *

How many smart office cameras were installed? *

Max amount - 20

Smart Office Camera Serial # *

Smart Office Camera Serial # 2 *

Smart Office Camera Serial # 3 *

Smart Office Camera Serial # 4 *

Smart Office Camera Serial # 5 *

Smart Office Camera Serial # 6 *

Smart Office Camera Serial # 7 *

Smart Office Camera Serial # 8 *

Smart Office Camera Serial # 9 *

Smart Office Camera Serial # 10 *

Smart Office Camera Serial # 11 *

Smart Office Camera Serial # 12 *

Smart Office Camera Serial # 13 *

Smart Office Camera Serial # 14 *

Smart Office Camera Serial # 15 *

Smart Office Camera Serial # 16 *

Smart Office Camera Serial # 17 *

Smart Office Camera Serial # 18 *

Smart Office Camera Serial # 19 *

Smart Office Camera Serial # 20 *

Switch Serial # *

Doorbell Serial #

Was any XHS CPE returned? *

Yes
No

Security CPE Returned *

Door & Window Sensors
Motion Sensors
Keypad
Cameras
Touch Screen
Smoke Detectors
Router
Smart Office Cameras
Switch
Doorbell

Check all that apply

How many door & window sensors were returned? *

Max amount - 6

Door & Window Sensor Serial # *

Door & Window Sensor Serial # 2 *

Door & Window Sensor Serial # 3 *

Door & Window Sensor Serial # 4 *

Door & Window Sensor Serial # 5 *

Door & Window Sensor Serial # 6 *

How many motion sensors were returned? *

Max amount - 6

Motion Sensor Serial # *

Motion Sensor Serial # 2 *

Motion Sensor Serial # 3 *

Motion Sensor Serial # 4 *

Motion Sensor Serial # 5 *

Motion Sensor Serial # 6 *

How many keypads were returned?

Keypad Serial # *

Keypad Serial # 2 *

How many cameras were returned? *

Max amount - 6

Camera Serial # *

Camera Serial # 2 *

Camera Serial # 3 *

Camera Serial # 4 *

Camera Serial # 5 *

Camera Serial # 6 *

Touch Screen Serial # *

How many smoke detectors were returned? *

Max amount - 6

Smoke Detector Serial # *

Smoke Detector Serial # 2 *

Smoke Detector Serial # 3 *

Smoke Detector Serial # 4 *

Smoke Detector Serial # 5 *

Smoke Detector Serial # 6 *

Router Serial # *

How many smart office cameras were returned? *

Max amount - 6

Smart Office Camera Serial # *

Smart Office Camera Serial # 2 *

Smart Office Camera Serial # 3 *

Smart Office Camera Serial # 4 *

Smart Office Camera Serial # 5 *

Smart Office Camera Serial # 6 *

Switch Serial # *

Doorbell Serial # *

Customer Signature *

Clear Signature

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