Smoke Detector - Insurer Reporting Template (Document Template)

I, the undersigned [Surname - First name of the insured] ,

contract holder [insurance contract number]

attests to having settled a standardized smoke detector complying with NF EN 14604

to: [insured person's address] .

[Date]

[Signature]

Verified 12 August 2021 - Directorate for Legal and Administrative Information (Prime Minister)

For details, please use the practical information sheets :

J'ai réalisé une démarche administrative

Je donne mon avis sur Services Publics +. L'administration concernée me répondra.

Je donne mon avis