Code Alarm CA-130 Guia do Utilizador descarregar pdf (Página 53)

– 53 –

OWNER’S INSURANCE PREMIUM CREDIT REQUEST

This form should be completed and forwarded to your homeowner’s insurance carrier for possible

premium credit.

A. GENERAL INFORMATION:

Insured’s Name and Address:

Insurance Company: Policy No.:

FA130CP

Other ______________________________

Type of Alarm:

Burglary

Fire

Both

Installed by: Serviced by:

Name Name

Address Address

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

Local Sounding Device Police Dept. Fire Dept.

Central Station

Name:

Address:

Phone:

C. POWERED BY:

A.C. With Rechargeable Power Supply

D. TESTING:

Quarterly

Monthly

Weekly

Other

continued on other side

1 2 ... 48 49 50 51 52 53 54 55 56

Sem comentários

Code Alarm CA-130 Guia do Utilizador Página 53