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First Alert FA145C CREDIT REQUEST, OWNER'S INSURANCE PREMIUM, – 37 –, TESTING:, POWERED BY:, A.GENERAL INFORMATION:

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OWNER'S INSURANCE PREMIUMCREDIT 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.: _______________________________________

First Alert System: Model FA145C

Type of Alarm:

Burglary

Fire

Both

Installed by: ______________________________________ Serviced by: ________________________________________

name	name
______________________________________	________________________________________
address	address

B.NOTIFIES (Insert B for Burglary, F for Fire, where appropriate):

Local Sounding Device _________ Police Dept. ___________

Fire Dept. __________ Central Station __________

Name and Address: ____________________________________________________________________________________

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

D.TESTING: Quarterly, Monthly, Weekly, Other _____________________________________________

continued on other side

– 37 –

Contents

Page – 2 – General First Alert Professional Burglary Protection Zones Alarms Fire Protection Chime Feature Phone Access & Voice Response Capability Keypad Styles Keypad Types •Alpha Keypads •Fixed-WordKeypads ALARM STAY FIRE KEYPADS WITH FLIP-DOWNKEY COVERS ARE SHOWN WITH COVER REMOVED FA550KP ALPHA KEYPAD FA210KP FIXED-WORDKEYPAD FA250KP FIXED-WORDKEYPAD FA550KP ALPHA KEYPAD DISPLAY WINDOW. Alpha Keypad: Fixed-Word Keypad: OFF KEY: AWAY KEY: TYPICAL ALPHA KEYPAD To Assign, Change, or Delete User Codes User Codes To Assign or Change a User Code: CODE single-digit Quick Arming General Information exit delay Entry delay Exit Delay: Entry Delay No. 1: DISARMED - PRE SS ✱ FAUL T 06 FRONT READY TO ARM BYPASS 06 FRONT UPSTAIRS BEDROOM Quick Bypass READY TO ARM ARMED STAY Using the ARMED *INSTANT ARMED *** AWAY ARMED * MAX I MUM MASTE R BE DROOM Exit Alarm Warning Displays and Sounds (FOR MANUALLY ACTIVATING SILENT AND/OR AUDIBLE ALARMS) Using Panic Keys A silent emergency An audible emergency Programmed Actions TO BE CONDUCTED WEEKLY SSSS–EEE–NNN SSSS EEE NNN CHECK 06 FRONT UPSTAIRS BEDROOM Other Trouble Displays COMM. FAILURE SYSTEM LO BAT LO BAT + CALLING FOR SERVICE request for service – 28 – FIRE MASTER BEDROOM Manually Initiating a Fire Alarm Press and hold the lettered key assigned for Fire emergency for 2 seconds for 2 seconds Press the key pair assigned for Fire emergency Page Steps to Safety FUNCTION PROCEDURE COMMENTS – 33 – (ALPHA DISPLAY KEYPADS) (FIXED-WORDDISPLAY KEYPADS) PROTECTION ZONE DESCRIPTIONS Zone Description –36 – OWNER'S INSURANCE PREMIUM CREDIT REQUEST A.GENERAL INFORMATION: B.NOTIFIES (Insert B for Burglary, F for Fire, where appropriate): POWERED BY: CREDIT REQUEST (cont.) E.SMOKE DETECTOR LOCATIONS: F.BURGLARY DETECTING DEVICE LOCATIONS: G.ADDITIONAL PERTINENT INFORMATION: – 38 – CANADIAN DEPARTMENT OF COMMUNICATIONS (DOC) STATEMENT UL NOTICE: This is a "Grade A" Residential System FEDERAL COMMUNICATIONS COMMISSION (FCC) Part 15 STATEMENT IN THE EVENT OF TELEPHONE OPERATIONAL PROBLEMS FEDERAL COMMUNICATIONS COMMISSION (FCC) Part 68 STATEMENT WARNING! THE LIMITATIONS OF THIS ALARM SYSTEM –42 – SERVICING INFORMATION ONE YEAR LIMITED WARRANTY 172 Michael Drive Syosset, New York