Managed Fire Alarm Service

Modification Request

Owner Details

Owner of the property

Premises Owner Contact Details

10 digits with no spaces, landlines include area code
10 digits with no spaces

Service Details

Modification Service Charges

USER FEES


Subsequent Installation Visit  - The below rate includes 2 hour travel time, additional travel time may be charged as per the Terms and Conditions.

Monday to Friday 7.30 am – 4.00pm - $407.84 (ex GST)

After Hours - $612.48 (ex GST)

Public Holiday - $716.98 (ex GST)


Relocation of ASE  - $817.13 (ex GST)

Monday to Friday 7.30am – 4.00pm this rate includes 2 hour travel time, additional travel time may be charged as per the Terms and Conditions


Additional Primary and Secondary inputs of ASE  - $817.13 (ex GST)

Monday to Friday 7.30am – 4.00pm this rate includes 2 hour travel time, additional travel time may be charged as per the Terms and Conditions


Resistor Block - $197.40 (ex GST)

Where required for additional monitoring inputs

Please input some information here including the primary and secondary alarm details

Site Details

Managed Fire Alarm Service Site Address

Address where the Managed Fire Alarm Service is located

Managed Fire Alarm Service Site Contact

10 digits with no spaces, landlines include area code

Fire System Maintainer Contact Details

10 digits with no spaces, landlines include area code
10 digits with no spaces

Fire System Installer Contact Details

10 digits with no spaces, landlines include area code
10 digits with no spaces

Your Application

I apply for the service(s) described in this Application Form and acknowledge that if myapplication is accepted it will be provided on the terms and conditions set out in this ApplicationForm.

Privacy

I agree, and will ensure that our Personnel, any of our related bodies corporate and their Personnel, and any individuals who receive services detailed within this Application Form or whose information is disclosed to Telstra in connection with this Application Form are aware, that we may use and disclose information about you and each of them in accordance with Telstra’s “Privacy Statement” available at telstra.com.au/privacy/privacy-statement.

I agree to Telstra and its related companies collecting, using and disclosing personal information as described in the Privacy Statement.

I agree that Telstra may also, subject to the Privacy Act 1988:

(a) disclose information about me and this application (including information contained in any application for additional services and information about the conduct of my account) to a credit reporting body to obtain credit reporting information about me and to another credit provider or a debt collection agent to collect overdue payments relating to credit owed by me and to notify defaults by me; and

(b)  obtain and use information about my creditworthiness (including consumer credit reporting information or a commercial credit report) from a credit reporting body or other business that reports on creditworthiness or from a credit provider to assess any application for services or to collect any overdue payments.

Important information about credit reporting: I acknowledge that I should read important information about credit reporting available on Telstra’s website at http://telstra.com.au/privacy/important-information-about-credit/. This includes details about the credit reporting bodies that Telstra deals with, the kinds of information that Telstra may give to those bodies about me (such as about certain overdue payments), how they may use and disclose it and those bodies’ policies regarding its management. It also includes details about my access, correction and complaint rights regarding credit-related personal information and my rights to prevent its use in certain circumstances, such as if I am a victim of identity fraud. A copy of this information is also available from Telstra on request.

I Give Authorisation for Telstra To Release Details To MFS and CFS

I agree and acknowledge that the MFS / CFS authorisation of this Application Form is for  administrative purposes only, to assist Telstra and MFS / CFS to manage and coordinate their  records. In some cases, the authorisations made by MFS / CFS in this Application Form will be based on information provided by third parties and MFS / CFS will be in no way liable for any harm  (including death), loss, damage or cost arising from reliance on any such representation. In the  case of an application for a cancellation of a Managed Fire Alarm Service, I acknowledge that  MFS / CFS ' authorisation is based upon information provided to MFS / CFS by me and the local council  body in which my building is located and agree to release and indemnify MFS / CFS against any loss, damage or cost arising from a representation which I have made being incorrect. I also  acknowledge and agree that I am solely responsible for determining whether my building's fire  alarm needs to be monitored, for ensuring that the proper equipment is installed and is in  working order and for obtaining and maintaining a Managed Fire Alarm Service to allow my  building's alarm to be monitored by MFS / CFS.

SIGNED by me, for and on behalf of the Customer as its authorised representative:

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Attachment – Terms and Conditions of Managed Fire Alarm Service

MFS/CFS Categorisation

Fire Service Approval

Field Modifications

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MFAS Authorisation