Manuals / First Alert / Household Appliance / Home Security System

First Alert N8891-1 manual Owners Insurance Premium Credit Request, A. General Information

Models: N8891-1

1 40
Download 40 pages 50.9 Kb
Page 33
Image 33
OWNER'S INSURANCE PREMIUM CREDIT REQUEST

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.:

First Alert’s ReadyGuard

Other _______________________________

 

 

 

 

 

 

 

 

 

Type of Alarm:

 

 

Burglary

 

 

 

Fire

Installed by:

 

 

 

 

Serviced by:

 

 

 

 

 

Name

 

Address

Both

Name

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

– 33 –

Page 32 Page 34
Page 33
Image 33
First Alert N8891-1 manual Owners Insurance Premium Credit Request, A. General Information
Page 32 Page 34