OWNER'S INSURANCE PREMIUM CREDIT REQUEST (cont.)
E. SMOKE DETECTOR LOCATIONS
Furnace Room |
| Kitchen |
| Bedrooms |
Basement |
| Living Room |
| Dining Room |
|
|
F. BURGLARY DETECTING DEVICE LOCATIONS:
Front Door |
| Basement Door |
| Rear Door |
|
1st Floor Windows |
| All Windows |
| Interior Locations | |
|
| ||||
All Accessible Openings, Including Skylights, Air Conditioners and Vents
Attic
Hall
All Exterior Doors
G. ADDITIONAL PERTINENT INFORMATION:
Signature: |
| Date: |
