Worry-Free Fall Alarm Warranty

To register for your 2 year warranty, please complete the information below

You must register your new AliMed Worry-Free Fall Alarm within 10 days of first use for warranty coverage. If the alarm unit is returned and found to be defective during the 2 year warranty period, we will replace the alarm unit - free of charge. The replacement alarm unit will then carry the remaining warranty period of the original alarm unit.

Facility Name*

Your Name*

Title*

Address*

City*

State*

Zip*

Telephone*

Email*

Date Purchased*

Date of Initial Use*

Serial Numbers*

Serial numbers are also located on the right hand side of the box and on the back of the alarm unit. Please enter one number per line.