RemoteCOM Enroll Pay Support Contacts

Middle Initial:

Date of Birth:

Supervision Officers’s Email

Device Type:

Make/Model:

Anti-Virus(es):

Operating System:

Device Type:

Make/ Model:

Anti-Virus(es):

Operating System:

Device Type:

Make/ Model:

Anti-Virus(es):

Operating System:

Defendant/Offender Information


If you have any questions you can contact RemoteCOM by phone at (866)776-0731 or by email at installationsupport@remote-com.com


Supervision Agency Information

Monitored Device Information

Complete device information for each device being installed on RemoteCOM. If there are more devices than the provided spaces, please send an email to: installationsupport@remote-com.com listing the additional devices and type Additional Device(s) in the subject line of the email.

Participant Agreement Form Completed

First Name:

Last Name:

Address:

City:

Zip/ Postal Code:

Email Address:

Primary Phone:

Agency Name:

Officer:

Officer’s Phone:

Alternate Phone:

PACTS #

Federal Enrollment Form