World Leader in Fire-Resistant and Security Storage
Directions: (Please PRINT all information clearly to avoid delays in processing your request.)
Step 1: Provide non-refundable service fee online or by telephone.
Step 2: Fill out ALL information below. Please print.
Step 3: Have this document notarized.
Step 4: Return document via one of the following methods:
Fax: |
(585)381-2940 |
Mail: |
Sentry Safe |
Email: |
ConsumerInfo@sentrysafe.com |
|
882 Linden Ave |
|
|
|
Rochester, NY 14625 |
Service Fees
Keys: $15 (per pair)
Combination: $20 Expedited Combination Requests: $30
Requests can take up to 3 – 5 business days to process once form is received.
Expedited Processing: Expedited requests are available within 1 - 2 business days once form is received.
Check here if you paid for an expedited combination request.
Requestor Information
Name: _________________________________ Business Name (optional): _______________________
Address: _______________________________________________Apt/Suite #_______________
City: ______________________________________ State: ________________ Zip Code: ____________
Phone Number: _______________________________ Fax Number: ___________________________
Email Address: ________________________________________ Reference/Order # ______________
Send Combination Via: Email |
Mail Fax |
Pick up- 882 Linden Ave Rochester, NY 14625 |
Safe Information |
|
|
Model Number: _______________________ |
For Key Requests Only |
Serial Number: _______________________ |
Key (Lock) Number: __________ |
Statement must be filled out in the presence of a Notary Public not related to you
I, _____________________________, swear under penalty of perjury that I am the rightful safe owner or authorized
(Print Name)
agent acting on behalf of the safe owner or company. Supporting documents such as death certificate, will, Power of Attorney, or other court-ordered documents must be provided if safe was inherited and/or you are acting on behalf of the safe owner.
I am requesting: (Please check all that apply)
Notary Stamp or Seal
Keys: Door Override Inner Drawer
Key Quantity: ___
Combination
(Please use pencil to shade over entire embossed seal if used)
Safe Owner Signature: _____________________________________ |
Date: _____/_____/_____ |
Notary Information: ________________________ _______________ |
_____________________________ ____________ |
|
(Notary Public Name – PLEASE PRINT) |
(Notary Public - SIGNATURE) |
Date: _____/_____/_____ |
My commission expires: _____/_____/_____ |
Service Fees: Service fees can be paid online at www.sentrysafe.com/customer
care/lost_your_combination or by calling us toll free at 1-800-828-1438. Our hours of operation are Monday – Friday 8am – 6pm EST.