SCSI 3G Credit Claim Form

Replaced DTU Advice Form - This form should be completed while the Technician is on site.
This form is designed to be used on mobile devices and most web browsers.

NOTE: Credits will only be paid to the purchaser of the DTU. There will be no 3rd party credits paid

* Indicates required field

Name *

First

Last

Installer Company *

Email *

Control Room/CMS/Monitoring Centre *

Monitored Client Number *

Replaced 3G Unit Serial Number *

3G Unit Brand *

Installed 4G Serial Number *

Date Installed DD/MM/YYYY *

Upload image of 3G device Serial Number *

Max file size: 20MB

Has the 3G services been cancelled? *

Yes No

Date 3G Services Cancelled *

Additional Comments (If Any) *

Submit