This is the certificate that proves your alarm system is monitored, issued to your own insurance carrier. Many carriers offer a premium discount for one.

Looking for a certificate for Liberty Security Services’ liability insurance, with additional insured or waiver of subrogation? Use the Certificate of Insurance Request instead.

Before we act on this request: once this form is submitted, we contact the people on your account’s call list to verify it before any change is made. This protects your account from unauthorized changes, and it means no request is carried out on the strength of a form alone.

Alarm Insurance Certificate
Name on the Account
Name on the Account
First Name
Last Name
Service Address
Service Address
City
State/Province
Zip/Postal
Country
The protected premises the certificate is for.

Certificate Details

Agent's Name
Agent's Name
First Name
Last Name
Anyone else who must appear on the certificate, such as a mortgage company, landlord, trust or second named insured. Include their full name and mailing address.
System Type
What the certificate needs to cover.
Send Certificate Through
Email to Send the Certificate To
Fax to Send the Certificate To
Some carriers require exact phrasing on the certificate. Paste anything they have asked for here.