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HCFa-1513 Form: What You Should Know

Yes No LB7. Name. Address. Proprietary Institution Number. Form HCFA-1513 (5-86) Page 2 DISCLOSURE OF OWNERSHIP AND CONTROL INTEREST (d) (To be completed by the CFA office) Chain Affiliate No. Yes No LB7. Name. Address. Provider Number. Form HCFA-1513 (5-86) Page 3 Disclosure of Ownership and Control Interest Statement. ADDRESS. PROVIDER NUMBER/CIA Number. Yes. No. LAB. 1513 (7/07) (e) (To be completed by the CFA office) Chain Affiliate No. Yes. No LB7. Name. Address. Provider Number. Form HCFA-1513 (5-86) Page 4 DISCLOSURE OF OWNERSHIP AND CONTROL INTEREST. (f) (To be completed by the CFA office) Chain Affiliate No. Yes No LB7. Name. Address. Provider Number. Form HCFA-1513 (5-86) Page 5 DISCLOSURE OF OWNERSHIP AND CONTROL INTEREST (F) (1) (To be completed by the CFA office) Chain Affiliate No. Yes. No LB7. Name. Address. Provider Number. Form HCFA-1513 (5-86) Page 6 (2) (To be completed by the CFA office) (a) (To be completed by the CFA office) Chain Affiliate No. Yes. No LB7. Name. Address. Provider Number. Form HCFA-1513 (5-86) Page 7 (b) (To be completed by the CFA office) Chain Affiliate No. Yes. No LB7. Name. Address. Provider Number. Form HCFA-1513 (5-86) Page 8 DISCLOSURE OF OWNERSHIP AND CONTROL INTEREST (3) (To be completed by the CFA office) Chain Affiliate No. Yes. No LB7. Name. Address. Provider Number. Form HCFA-1513 (5-86) Page 9 (4) (To be completed by the CFA office) Chain Affiliate No. Yes. No LB7. Name. Address. Provider Number.

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Video instructions and help with filling out and completing HCFa-1513

Instructions and Help about HCFa-1513

Please see the Bell simple setup video from step 1. First, unplug the power cord from your current setup. Then, set up the products demoed in this video, which are the CBL for channel POA in BR and the CBL for the megapixel model resume. Next, remove your NVR from its packaging and connect the power cord. Plug the power cord into your NVR's power source. Once the unit is powered on, the indicator light and cord will turn on. Connect your NVR to your monitor using the HDMI cable. Your NVR should come with a mouse, so remove it from the package and connect it to the USB port. Next, unpack the camera, starting with the C bail four megapixel motorized one. Then, unpack the 2-megapixel fixed dome cameras and remove the caps from the POA ports on the cameras. Use Ethernet cables to connect the cameras' POA ports to the NVR's POA ports. Once all four cameras are connected, power on the NVR using the switch on the back. Once the device boots, you're ready to set up with the C Bell simple setup wizard. If you would like a more detailed wizard setup video, please click here. Enter your username and password, which by default is admin123456. Click Next. Choose your timezone and set your date and time format. Make sure the options "Obtain IP address automatically" and "Obtain DNS automatically" are checked. On the next screen, you will see your NVR's QR code, which is used in C Bell Mobile for easy device connections. Your cameras will be displayed, from POE1 to POE4. Click to add them all. In the disk setting screen, select "Format," then click OK and Next. Select "Record on motion," which is the recommended setting. Now, your camera can record on motion....