– 61 –
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.:
FA168CPS / FA148CP
Other
______________________________________________________
(circle the appropriate model number)
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
Содержание First Alert FA148CP
Страница 57: ... 57 Notes Notes Notes Notes ...
Страница 58: ... 58 Notes Notes Notes Notes ...
Страница 59: ... 59 Notes Notes Notes Notes ...
Страница 60: ... 60 Notes Notes Notes Notes ...