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GoodLife Alarm Verification Form


GoodLife Store Information:

Emergency Contact Information:

Please Note: Complete contact information for at least one store contacts is required. Emergency phone numbers cannot be store numbers!

A keypad code and password are required for every emergency contact listed.

Contact #1:

Contact #3:

Contact #2:

Contact #4:

Additional Emergency Contact Information (as needed):

Please list all employees that have been issued keys for store access. Please list the Phone Numbers of these contacts ONLY if they are expected to RESPOND to store Alarms.

Contact #5:

Contact #6:

Contact #7:

Contact #8:

Contact #9:

Contact #10:

Comments / Questions:


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