Alarm Monitoring Certificate



Alarm Monitoring Certificate

The alarm monitoring services provided may provide entitle you to a discount on your home or business insurance. DigiCom, Inc. has been inspected and listed with Underwriter’s Laboratories as a UL Listed Central Station (UUFX File #S5213)

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The Central Station is monitoring the following conditions for the location listed below:

_____Burglary _____Fire _____Holdup/Panic _____Medical

_____Low Temp ______Carbon Monoxide _____Water Sensors

Other Alarm Monitoring Services or Backup Services

_____Cellular _____TCP/IP _____Radio

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Alarm System Owner Information Installation Company Information

_______________________________________ ________________________________________

Name Company

________________________________________________ _________________________________________________

Address being monitored Address

________________________________________________ _________________________________________________

City State Zip City State Zip

________________________________________________ _________________________________________________

Phone Phone

______________________ ___________________

Date of Install Panel Model

_________________________________________________

Signature of Preparer

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