Digital Customer Information Form

Please provide us with the following information to properly install and configure your new intelligent, connected home. This information will be kept private and not shared with any 3rd party. Any required information not provided prior to initial installation will be configured with default credentials. You may choose to change the default credentials yourself or schedule a service call to complete the setup at a later time (standard service rates will apply).

As an added service, Digital will leave you with a document of all the provided information. This will make it easy to keep track of and have all the information easily accessible when adding future devices.

Step 1 of 9

Contact Information
Property Name*
Unit Number
Address
Street Address City State
Name
First Last
Email
Home Phone
Cell Phone

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Service Providers
Television Service Provider
Internet Service Provider
Security Service Provider
Security Username
Security Password
Details for "Other"
Automation Apps
Thermostat
Thermostat Integration
App Username
App Password
Details for "Other"

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Personalize Your Network
Default Admin Credentials
For new devices installed by Digital, you are welcome to provide your own Admin Password that we will configure for you. If you do not have a preference, we will provide you with a password.
Enter Preferred Admin Password
Wireless Network
Your wireless network will broadcast a name (SSID) that you and your guests can see in order to connect wireless devices. You are welcome provide a specific name or we will provide one for you using our recommended format.
Enter Preferred Wireless Network Name (SSID)
Enter Preferred Wireless Network Password
Guest Wireless Network (optional)
Enter Preferred Guest Wireless Network Name (SSID)
Enter Preferred Guest Wireless Network Password

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Existing Network Devices
Do you have existing network devices that will be part of your new Smart Home Network installed by Digital (i.e. Cable/DSL Modem, Wireless Router, etc.)?
- Yes
- No
Please provide us with the Admin Credentials for each of your existing network devices that will be used in your new Smart Home.
Network Device #1
Device Type
Device IP Address
Admin Username
Admin Password
Wireless Network Name (SSID)
Wireless Network (SSID) Password
Network Device #2
Device Type
Device IP Address
Admin Username
Admin Password
Wireless Network Name (SSID)
Wireless Network (SSID) Password
Network Device #3
Device Type
Device IP Address
Admin Username
Admin Password
Wireless Network Name (SSID)
Wireless Network (SSID) Password
Network Device #4
Device Type
Device IP Address
Admin Username
Admin Password
Wireless Network Name (SSID)
Wireless Network (SSID) Password
Network Device #5
Device Type
Device IP Address
Admin Username
Admin Password
Wireless Network Name (SSID)
Wireless Network (SSID) Password

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Audio Streaming Devices
Did you purchase a new device for Streaming Audio (i.e. Sonos), or plan on using your new Automation Controller for Streaming Audio Services?
- Yes, Purchased New Device(s) from Digital
- Yes, Plan on Using my New Automation Controller
- No, Plan on Using a Different Device
- No, Not Applicable
Audio Streaming Device #1
Device Brand
Admin Username
Admin Password
Audio Streaming Device #2
Additional set-up and programming costs may apply.
Device Brand
Admin Username
Admin Password

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Audio Streaming Services
If purchased, the Digital White Glove Implementation Services will professionally configure two of your Audio or Video Streaming Services on up to three of your Devices.
- I ordered Digital White Glove Implementation Services
- I would like to order Digital White Glove Implementation Services
- I would like to have Digital configure All Devices and Streaming Services as a Standard Time and Materials Service Call
- I will configure my own Audio Streaming Services
Audio Streaming Service #1
Select the Audio Streaming Service
Subscription Status
Subscription Version
Username
Password
Audio Streaming Service #2
Select the Audio Streaming Service
Subscription Status
Subscription Version
Username
Password
Audio Streaming Service #3
Additional set-up and programming costs may apply.
Select the Audio Streaming Service
Subscription Status
Subscription Version
Username
Password
Audio Streaming Service #4
Additional set-up and programming costs may apply.
Select the Audio Streaming Service
Subscription Status
Subscription Version
Username
Password
Audio Streaming Service #5
Additional set-up and programming costs may apply.
Select the Audio Streaming Service
Subscription Status
Subscription Version
Username
Password

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Video Streaming Devices
Did you purchase a new device specifically for Streaming Video (i.e. AppleTV)?
- Yes, Purchased a New Device from Digital
- No, Plan on Using a Different Device
- No, Not Applicable
Video Streaming Device #1
Device Type
Admin Username
Admin Password
Video Streaming Device #2
Device Type
Admin Username
Admin Password
Video Streaming Device #3
Additional set-up and programming costs may apply.
Device Type
Admin Username
Admin Password

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Video Streaming Services
If purchased, the Digital White Glove Implementation Services will professionally configure two of your Audio or Video Streaming Services on up to three of your devices.
- I ordered Digital White Glove Implementation Services
- I would like to order Digital White Glove Implementation Services
- I would like to have Digital configure All Devices and Streaming Services as a Standard Time and Materials Service Call
- I will configure my own Video Streaming Services
Video Streaming Service #1
Select the Video Streaming Service
Subscription Status
Subscription Version
Username
Password
Video Streaming Service #2
Select the Video Streaming Service
Subscription Status
Subscription Version
Username
Password
Video Streaming Service #3
Additional set-up and programming costs may apply.
Select the Video Streaming Service
Subscription Status
Subscription Version
Username
Password
Video Streaming Service #4
Additional set-up and programming costs may apply.
Select the Video Streaming Service
Subscription Status
Subscription Version
Username
Password
Video Streaming Service #5
Additional set-up and programming costs may apply.
Select the Video Streaming Service
Subscription Status
Subscription Version
Username
Password

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Special Instructions
Message to Installer

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Step 1 of 9

Contact Information

Service Providers

Automation Apps

Personalize Your Network

Default Admin Credentials

Wireless Network

Guest Wireless Network (optional)

Existing Network Devices

Network Device #1

Network Device #2

Network Device #3

Network Device #4

Network Device #5

Audio Streaming Devices

Audio Streaming Device #1

Audio Streaming Device #2

Audio Streaming Services

Audio Streaming Service #1

Audio Streaming Service #2

Audio Streaming Service #3

Audio Streaming Service #4

Audio Streaming Service #5

Video Streaming Devices

Video Streaming Device #1

Video Streaming Device #2

Video Streaming Device #3

Video Streaming Services

Video Streaming Service #1

Video Streaming Service #2

Video Streaming Service #3

Video Streaming Service #4

Video Streaming Service #5

Special Instructions