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Centura Programming Request

Please complete the form below and click 'submit'

Centura Programming Request

Please fill out the following form
so we can process your request quickly.

Today's Date * required

Time

Please choose the type of request you are submitting:

Choose system type

First Name

Last Name

Email

Phone

Date the issue started

Organization Name

Facility Name

Facility Address

What's the best way to get in touch? *

Phone

Text

Email

How serious is the issue? *

High (Critical)

Medium Priority

Low Priority

General Maintenance

Typical response times for low and medium priority issues will be within 24 hours from the time we receive the request.

For any request received that is Mission Critical (high priority), someone from our Service Team will be in contact within 2 hours from when the request was submitted.

To ensure expedited service, please also call (303) 650-7500 and ask to be connected to the Service department once you've completed and successfully submitted this request form.

Requestor's Point-of-Contact (if applicable)

Please describe the issue you're experiencing in as much detail as possible, and include the name of the product or system you're referring to.

Type of System or Device (manufacturer, model number, part number)

Proposed Date for Service * required

Please list the unit, floor, rooms, or areas that are experiencing the issue, or impacted by the issue.

Please provide the LVR room number and location that the device is wired to (if applicable)

Please provide Patch Panel and Port details (if applicable)

Please provide Network Switch Label and Port details (if applicable)

Have the IP addresses been requested to Centura IT? (if applicable)

Yes

No

Please provide Control Panel information. Be sure to include the Address and Input/Output descriptions (if applicable)

Please provide Access Control information below. Be sure to include the Door Name(s), Type of Door and Equipment installed, for example: NDE, Mag Lock, Delayed Egress, Crash Bar, Electric Strike, etc. (if applicable)

Please provide Security Surveillance information here. Be sure to include the Camera Name(s), Type of Camera(s) or equipment installed, IP address, and MAC address (if applicable)

Please provide Security Intercom information here. Be sure to include the IP Address and Mac Address (if applicable)

Please provide us with any additional information that may be helpful for us to know regarding this request.

Do you have an image to help us identify the device or location of device? If so, please upload below. *

Yes

No

Upload Images

Upload supported file (Max 15MB)

Would you like to request a meeting before we review your request and provide a quote? *

Yes

No

Would you Beacon to test? (additional costs may apply) *

Yes

No

If yes, please provide us with your proposed testing date

Choose a drop dead date to go live (if you don't need Beacon to test, please skip this part)

Cancellation & Scheduling Policy:

Please give 48 hour notice to Beacon via email to cancel any testing requests. If rescheduling, we will require 48 hours before we can schedule a new testing date and time.

Requestor agrees that any lost time due to lack of communication to Beacon as it relates to the scheduling of services are subject to pay for Beacon's lost time and labor at their designated T&M rate.

Please sign below to confirm that you understand and agree to our cancellation and scheduling policy.

Your Signature

The information I’ve provided is accurate & complete, and I have read and understand the cancellation policy above.

Point of Contact for Billing (if different than above)

Your request has been submitted! We will be in touch soon.

Partnering with pioneers in tech

What our clients have to say

“Comtel has certified technicians who are experts in both device installation and software programming. They also help provide great customer training and have excellent follow-through.”

MTCE Planner, Security, San Francisco General Hospital, CA, Customer

Contact Comtel

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Message

Thanks! We'll be in touch soon.

Address. 1292 Hammerwood Ave, Sunnyvale, CA 94089

Tel. (408) 543-5600

Email. info@comtelsys.com

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