Please print, fill in the changes then fax to (714) 547-1040. Changes received prior to 3 p.m. will be effective by 9 a.m. the next day. Changes received after 3 p.m. are considered as received before 3 p.m. the next business day and are treated accordingly. If you require immediate assistance, please contact us and we will make every attempt to accommodate your request. * Denotes required information.

Change account password or passwords form
* Line and Account Number:	* Current Password:
* Account Name:
* Street Address:
* City:	* State:	* Zip Code:
Change the main Password from to Check box if you want all passwords and call list information        currently on file to be replaced with this information.
· Add or Delete the passwords for the following people:
Name:	Password:	Add / Delete:
* Name of requester ______________________________________ * Authorized signature ___________________________________ National Security Systems Inc 1261 S. Lyon Street Suite 402 Santa Ana, CA 92705-4500 (800) 457-1999 FAX: (714) 547-1040 Top of Form Bottom of Form