New Site Application Form - Mere UK Ltd Electrical Contractor

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General Site Information

Company Name :(Required)

Site name :(Required)

Site Address(Required)

Street Address Address Line 2 City Post Code

What3Words Unique Reference :

What3words is a geocoding system that divides the world into 3-meter x 3-meter squares visit what3words.com to find out your sites unique three-word reference based on its exact location.

What3Words Coordinates :

Contact Information

Your Email Address(Required)

Email Address Confirm Email Address

Your Phone(Required)

Site Password(Required)

Site Duress Password (if applicable)

Keyholder Information

Key Holder Name(Required)

First Last

Key Holder Phone(Required)

Key Holder Mobile Phone (optional)(Required)

Passwords :

Passwords can be changed after installation by contacting our (ARC) Alarms receiving center.

Keyholder Password(Required)

Keyholder Duress Password (optional)

Please Note :

Please note that if the site has a URN, we require a minimum of two keyholders within 20 minutes travel of the site at all times.

Do You Require a 2nd Keyholder?(Required)

2nd Key Holder

2nd Key Holder Name

First Last

2nd Key Holder Phone

2nd Key Holder Mobile Phone (optional)

2nd Keyholder Password

2nd Keyholder Duress Password (optional)

Do You Require a 3rd Keyholder?

3rd Key Holder

3rd Key Holder Name

First Last

3rd Key Holder Phone

3rd Key Holder Mobile Phone (optional)

3rd Keyholder Password

3rd Keyholder Duress Password (optional)

Emergency Services Information

Which Police Force Covers the Site?(Required)

Which Fire Brigade Covers the Site?(Required)

Fire and Police Lookup :

Unsure which Force looks after the site (use these lookup links) Find a police force, to find a fire brigade use Your fire and rescue service

Additional Site Info (Optional)

If there are any specific instructions or important details we should know, please provide them here

If You Would Like a Form Receipt, Please Provide Your Email Address

Please Read

By submitting this form, you confirm that you have read and agree to our [Terms & Conditions] and [Privacy Policy]. The information you provide will be used to process your application and may be stored securely for administrative and communication purposes.

Terms & Conditions(Required)

I consent to these Terms & Conditions

I consent to my data being processed in line with the Privacy Policy

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