Confidential Account Setup Worksheet Please complete and submit the following Account Setup Worksheet. Only fully completed worksheets will be accepted. (1) Agency Information Type of Agency (Circle/Highlight One) Federal Government State Government x Local/Municipal Government Federal Law Enforcement State Law Enforcement Municipal Law Enforcement ORI Number: Agency Name Agency Address Main Agency Phone Number City or County: State: Zip Code: Choose One: Sheriff Police Department Website: IP Address or Range Number of Analysts: Number of Sworn Officers: Population of Jurisdiction: 1 Confidential (2) Administrator Contact Information Name: Phone Number: Title: Email: For credentialing purposes, each Customer Administrator must provide two (2) of the three (3) following pieces of identified information: First 5 SSN Full DOB Home Address (3) Do your addresses contain cities? Yes – (Example: “150 S. Broadway, Denver”) No – (Example: “150 S. Broadway”) (4) Data Coordinates Latitude and Longitude Coordinates ________________________________________________________________________ Southwest Latitude and Southwest Longitude Coordinates ________________________________________________________________________ Northeast Latitude and Northeast Longitude Coordinates ________________________________________________________________________ Are your coordinates in Decimal Degree or Projected format? Decimal Degree Projected:_________________________________________________________________ (For example: NAD 1983 State Plane North Carolina FIPS 3200 Feet) 2 Confidential (5) Vendor Reference Information for Local/Municipal Agencies Only Please list at least one (1) current Business to Business Vendor Reference. This section is optional, but if it is not completed and LN is not able to complete its credentialing process, LN reserves the right to re-request this information prior to account activation. Such re-request will result in processing delays. Company Name Company Address City State Zip Contact Name Contact Phone Number Fax Contact E-mail Address (6) Site Visit Information/Contact Information for Local/Municipal Agencies Only A site visit will be required for local and municipal agencies. Site visits may be required for any other Customer. Should a site visit be required, Customer agrees to authorize the site visit, cooperate in the site visit, and to pay the site visit charges as stated in the Schedule(s) A to this Agreement. Site visits are conducted for LN by an approved third-party. Site Visit Contact Contact Phone Contact E-mail (7) Former Crime Mapping Service Former Crime Mapping Service (If Any): (8) Translation Services required (Enter all that apply) CAD RMS Ballistics CRASH Offender LPR 3 Confidential (9) Check any crime categories that you will NOT be sharing with the public Homicide Motor Vehicle Theft Attempted Homicide Burglary from Vehicle Death Investigation Arson Sexual Assault Disorderly Conduct Sexual Offense DUI Robbery Commercial Alcohol Robbery Individual Drugs Aggravated Assault Traffic Simple Assault Vandalism Burglary Commercial Weapons Burglary Residential Other Criminal Theft Other Non-Criminal Fraud Shoplifting Theft Other 4 Confidential (10) Select the method you will be using to retrieve data from your Record Management System (RMS) Records Management System (RMS) Name and Version: ☐ Open Database Connectivity (ODBC) Connection Description: Select this option if the RAIDS Uploader will connect to your RMS through an ODBC connection and will use a SQL statement to query and extract your data before uploading it to RAIDS Online. The RAIDS Uploader will first extract the data locally, then push it to the RAIDS Online server. Data Source Name (DSN): Username: Password: Please have your ODBC connection password ready ☐ File Description: Select this option if the RAIDS Uploader will connect to a local data file that contains the RAIDS Online data. Your agency will set up an automated extract from your RMS that ensures the local data file always has the most recent data. You will use the RAIDS Uploader wizard to set which columns in your local file contain your RAIDS Online data. File Format: Microsoft Access Microsoft Excel Text File: Includes a header row Coma Separated Values Tab Delimited File Name and Path: ________________________________________________________________ (For example: “C:\Data\RAIDS.mdb”) 5 Confidential Include narratives in your RAIDS Online uploads: Narrative data will only be displayed in our secured interface for law enforcement only. The public will not be able to see Narrative data. Yes, I would like to include narratives in my RAIDS Online uploads. Please include an image of your agency’s badge/patch when you email this form. Yes, I have attached our badge to the email back to BAIR Analytics. Include Anonymous TipsYour agency can add the anonymous tip feature to RAIDS Online and receive emailed tips. Yes, I would like anonymous tips on RAIDS Online. Please include the point of contact at your agency that will receive the anonymous tips. Name: Title: Email: Phone: 6