Dahua dome camera alarm wires (IPC-HDBW4431R-AS)

Does the alarm signal also come through the CAT5 cable to the NVR or Blue Iris, or do I also have to run another cable to wire up the 3 alarm wires on the pigtail of this Dahua dome camera?

It depends on what you want it to do. Alarm I/O on camera are mostly used for external devices like at adding a PIR sensor, floor mat sensor, strobe light or a door chime, etc.

If you want the camera to mark events or record a video when an alarm is triggered, this is done through Ethernet cable to a NVR, you will not need to add wire for this and those alarm wires can be stuffed it inside a junction box out of the way.
 
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