ADEMCO VISTA-5OUL Guida Utente Scaricare il pdf (Pagina 59)

OWNER’S INSURANCE PREMIUM CREDIT REQUEST

Thisform should be completed and forwarded to your homeowner’s insurance carrier for possible premium credit.

GENERAL INFORMATION:

,nsured’s

Name and Address:

hsuranceCcmpany

Mcy No.:

ADEMCO’S VISTA-50

Other

Type of Alarm:

❑ Burglary

m Fire

❑ Both

Installedby

Serviced by

Name

Address

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

LocalSoundiig Device

Polii Dept.

FireDe@

Central Station a Name

Ackkesl

!+mrle:

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

D. TESTING:

❑ Quarterly

❑ Monthly

❑ Weekly ❑ Other

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ADEMCO VISTA-5OUL Guida Utente Pagina 59