First Alert FA134OC-UL Manuale Utente Scaricare il pdf (Pagina 61)

OWNER’S INSURANCE PREMIUM CREDIT REQUEST

This form should be completed and forwarded to your homeownet’s insurance taker for possible premium credit.

A. GENERAL INFORMATION:

Insured’s Name and Address:

-convany.

Policy No.:

First Alert Professional’s FAXMOC

Other

Type of Alarm: 0 Burglary

Fire

Both

Name

Serviced by:

Name

Address

B. NOTIFIES (Insert B = Burglary, F = Fire)

Localt3oun&gDevice

p-Dept

Fire Dept.

Central Station 0 Name:

Address:

Phone:

C. POWERED BY: A.C. With Rechargeable Power Supply

D. TESTING: 0

Quarterly

0 Monthly 0 Weekly

Other

kontinued on other side)

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First Alert FA134OC-UL Manuale Utente Pagina 61