First Alert FA134OC-UL Instrukcja Użytkownika Pobierz pdf (Strona 61)

OWNER’S INSURANCE PREMIUM CREDIT REQUEST

This form should be completed and forwarded to your homeownet’s insurance taker for possible premium credit.

A. GENERAL INFORMATION:

Insured’s Name and Address:

-convany.

Policy No.:

First Alert Professional’s FAXMOC

Other

Type of Alarm: 0 Burglary

Fire

Both

Name

Serviced by:

Name

Address

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

Localt3oun&gDevice

p-Dept

Fire Dept.

Central Station 0 Name:

Address:

Phone:

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

D. TESTING: 0

Quarterly

0 Monthly 0 Weekly

Other

kontinued on other side)

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First Alert FA134OC-UL Instrukcja Użytkownika Strona 61