Owner's Manual

MAXIMUM INSURANCE DISCOUNT AUTHORIZATION
Dear Insurance
Agent,
The
installation
of my
Code-Alarm
automatic (passive) arming security system
in
the
vehicle
indicated
below qualifies
me for the maximum discount
mandated by
law
in
some states and by insurance company option
in
others. This vehicle
security system
automatically
arms itself after the doors are
closed
and
includes at least one engine disabling relay
to prevent the engine from being started.
Insured Signature:
_______________________
Name(pleasepri
nt):
______________
_
Street Address:
__________________
State:
__________
Zip:
___________
_
Insurance
Company:
________________________________________
_
Policy#:--------------------------------------------
Vehicle Year/Make/Model:
--------------------------------------
Vehicle Identification
#:
------------------------------------------
The signature
below
certifies that
my
Code-Alarm
automotive security system was
installed
on
__
_
__
___
____
(date)
__
_
Installer
Signature:-----------,----------------------------------
Company:
_____________________________________________
___
Address:
__________________________________________________________
Telephone:
_______________
___
PLEASE COMPLETE AND
MAIL TO YOUR INSURANCE COMPANY
1026673