MARAC Operating Protocol 2013 - Safer Derbyshire

Derbyshire MARAC Operating Protocol (MOP)
Equipment: Pendant/Watch Alarm (Silent) PIR Sensor
BT main socket and 240v power point within 2m of each other?
Yes / No
Number of BT Mains Sockets in household (i.e. BT Telephone Extensions :
Password to be given in case of false activation:
Please ensure that completed Risk Assessment is attached
I agree that the above information is accurate and that the information can be shared with
appropriate agencies for the use of the Handy Van Network and Community Alarm Provider. It has
been explained to me clearly that services provided by the Handy Van Network and Community
Alarm Provider are to enhance the security of my home and increase my safety but ultimately my
personal safety is my own responsibility. Any alarm monitoring equipment provided as part of this
referral remains the property of Derbyshire County Council or the alarm provider.
Client
Print Name:
Signed:
Date:
Staff Member
Print Name:
Signed:
Date:
To be Completed by Community Alarm Provider
Date Referral Received by Community Alarm Provider:
Derbyshire MARAC Operating Protocol 2013 18