Q40 - PXG - Keyholder Form

Monitored Alarm Keyholder Form

Record of individuals authorised to respond to alarm activations
ARC Information

Thank you for choosing Perrex Group Ltd to provide protection for your premises. Please read the information below and fill out the required sections so that the monitoring of your system can be enabled.

PLEAE NOTE: Until this information is received, your system will be configured for Local Audible notification ONLY. If a return visit is required to enable the remote signalling, then additional charges may apply.

Once enabled, your system will be configured to send a number of different signals to the designated Alarm Receiving Centre (ARC).

As discussed during the sales process, the Police may be contacted by the ARC depending upon the sequence and types of signals sent. (Please also refer to your System Design Proposal for a more detailed explanation of Confirmed Alarms and Planned Interventions and Responses).

Examples of signals likely to be received are below:-

• Set.
• Unset.
• Unconfirmed Alarm – Single device activation – Keyholder(s) informed ONLY.
• Mains Failure or other fault indication.
• Loss of signal path(s).
• Confirmed Alarm – Keyholder(s) and Police informed.
• Hold Up Alarm (if fitted).

Any signals received by the ARC are held in software for 90 seconds before being presented to an operator for action. This is to allow an unset (or abort/restore) signal to be sent by your system should the notification be generated by a mis operation or short duration fault.

If Police attendance is required, then the ARC use a Unique Reference Number (URN) identifying your premises and the type of response required. This is issued by the relevant Police Alarms Administration Office once all required information has been provided to them and their fee paid. Please fully complete the enclosed/attached Appendix G form and print out and sign.

Please Note: This form must be printed and wet signed. Electronic signatures are not accepted on this form and will cause a delay in the issuing of the URN(s).
KEY-HOLDERS AND THEIR DUTIES

In order to comply with NPCC (National Police Chief Constable) Security Systems policy, you are required to provide details of at least two people to be contacted in an emergency, when no one is at the premises.

They must:

(i) live at separate addresses within 20 minutes safe travelling distance of the premises, using their own transport; and

(ii) have agreed to hold keys to the premises; and

(iii) be able to operate your security system(s); and

(iv) have full access to all parts of the premises.

You should:

1. Complete all sections of this form.

2. Confirm that all information provided is correct.

3. Press submit at the end of this form.

Ex Once received, the details will be checked and Google Maps will be used to confirm that the keyholders can reach the premises within 20 minutes.
Version - 1.0 | Date - 18.05.26 | Reason for Change: Initial Release | Authored By: Quality Champion | Approved By: Director

Protected Premises Details

Provide details of the protected premises. Keyholder information can be added on the following pages (up to five keyholders).
Premises Type
Company Name
Name

First NameLast Name
Address

Street Address

Street Address 2
CityCountyPost Code
Site Telephone Number
Memorable Site Word
The monitoring station requires this for verification. If completed, it allows anyone not listed as a keyholder on the following pages to be authorised
Site Specific - Special Instructions or Notes
If your key-holders are subject to change, you must email us at info@perrexgroup.co.uk along with your site id code to enable us to amend your key-holders details with your current arc (alarm receiving centre). It is important we are notified of removed key-holders.

All passwords must be unique per premise and key-holder – if you wish to have a password for the premise only please fill out in the required field above.

At any time of the day, there should be a key-holder available to contact during am/pm.

The arc will ring the key-holders in the order set below, if your key-holders are to change priority, please email us with the new priority call order.

If you are aware that your keyholders are unavailable for any reason, you must inform us and provide alternatives to continue to comply with Police policy.

Keyholder 1

A minimum of two keyholders must be provided.
Name

First NameLast Name
Address

Street Address

Street Address 2
CityCountyPost Code
Home Telephone
Mobile Telephone
Position within Company
Memorable Word
The monitoring station will require this for verification purposes.
Special Instructions or Notes
Please specify any applicable contact hours

Keyholder 2

A minimum of two keyholders must be provided.
Name

First NameLast Name
Address

Street Address

Street Address 2
CityCountyPost Code
Home Telephone
Mobile Telephone
Position within Company
Memorable Word
The monitoring station will require this for verification purposes.
Special Instructions or Notes
Please specify any applicable contact hours
Would you like to add another keyholder?

Keyholder 3

If no keyholder details are required, please proceed by selecting “Next” until the end of the form
Name

First NameLast Name
Address

Street Address

Street Address 2
CityCountyPost Code
Home Telephone
Mobile Telephone
Position within Company
Memorable Word
The monitoring station will require this for verification purposes.
Special Instructions or Notes
Please specify any applicable contact hours
Would you like to add another keyholder?

Keyholder 4

If no keyholder details are required, please proceed by selecting “Next” until the end of the form
Name

First NameLast Name
Address

Street Address

Street Address 2
CityCountyPost Code
Home Telephone
Mobile Telephone
Position within Company
Memorable Word
The monitoring station will require this for verification purposes.
Special Instructions or Notes
Please specify any applicable contact hours
Would you like to add another keyholder?

Keyholder 5

If no keyholder details are required, please proceed by selecting “Next” until the end of the form
Name

First NameLast Name
Address

Street Address

Street Address 2
CityCountyPost Code
Home Telephone
Mobile Telephone
Position within Company
Memorable Word
The monitoring station will require this for verification purposes.
Special Instructions or Notes
Please specify any applicable contact hours

I confirm that the information provided is accurate and complete, and I accept responsibility for ensuring these details remain up to date for monitoring purposes
Name

First NameLast Name
Email
example@example.com
Should be Empty:

Monitored Alarm Keyholder Form

Protected Premises Details

Keyholder 1

Keyholder 2

Keyholder 3

Keyholder 4

Keyholder 5