Cancellation Request Form

We are always sorry to lose a customer and hope that you think of us in the future for your life and property protection.

This cancellation meets the 30 days written notice requirement. Please consult with Guardian Security Representatives to confirm that your contractual terms have been met, otherwise a balance of contract could be billed upon cancellation. Advanced billing will be credited from 30-days after receiving your cancellation through future billing.

Fill the form below to proceed with your cancellation request.

CUSTOMER CARE
(206) 622-6545 XT. 0

SERVICE DEPARTMENT
(206) 622-6545 XT. 2

BILLING HELP
(206) 622-6545 XT. 3

INSURANCE CERTIFICATE
(206) 622-6545 XT. 0

Cancellation Form

All form fields are required

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Today's Date*

Today's Date:
01/13/2025

Date to End Monitoring*

Account Name*

Your Name*

Customer Number*

Address of Cancellation Site*

Street Address*

Address Line 2

City*

State*

ZIP Code*

Contact Number*

Email Address*

Services You Wish to Cancel*

Whole Account Cancellation

Fire Monitoring

Life Safety & Fire Inspections

Maintenance

Security Monitoring

AES Radio

Elevator Monitoring

Cancellation Reason*

We would love to know what you appreciated or what you feel like we could improve on in the future! Please leave us a review*

I am the person who contracted for alarm monitoring, or the authorized representative of that person or corporation, and I wish to cancel monitoring of the above-described alarm system.

Signature*

Print Name*

Date*

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Phone

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