Alarm Installation Certificate Form PDF Details

Ensuring the safety and compliance of a fire alarm system installation is paramount for both property owners and authorities. The Alarm Installation Certificate serves as a vital document in this process. After the successful installation, modification, or addition of a fire alarm system or single-station detector in buildings beyond the scope of one- or two-family residences, the responsibility falls upon the licensee to complete and distribute this certificate appropriately. It validates that the work undertaken adheres to the stringent requirements laid out in the Fire Alarm Rules, as codified in 28 Texas Administrative Code, 34.617. This certification not only affirms compliance with various codes and standards, such as NFPA 72 and NFPA 70, but also documents crucial details of the installation, including the type of installation (new, modification, or addition), system information, and the certifying alarm company's contact data. The completion and dissemination of this certificate—a copy to the building owner or representative, another to the local authority having jurisdiction, and a third retained by the certifying company—ensures a clear chain of documentation. This facilitates access to vital system information for future reference, thereby contributing to the ongoing safety and regulatory compliance of the property.

QuestionAnswer
Form NameAlarm Installation Certificate Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesform fire alarm, form fire certificate, alarm certifying, fire alarm certificate

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Fire alarm installation certificate

After completing an installation, modification, or addition of a system or single-station detector (excluding a one- or two-family residence), the licensee must complete and present this certificate to the owner or owner’s representative or post the certificate near the main control panel (Fire Alarm Rules, 28 Texas Administrative Code, 34.617.

Original to owner or posted on site at control panel. Copy 1 to main authority having jurisdiction. Copy 2 for certifying alarm company to keep in its office for access by SFMO.

Property name:

Building/floor:

Street:

City / Zip:

Certifying alarm company:

Type of Installation:

New

Modification

Addition

The system complies with the following codes and standards.

 

Code

 

Year/edition

Code

 

Year/edition

 

 

NFPA 72

 

 

 

IBC / IFC

 

 

 

 

NFPA 70

 

 

 

 

 

 

 

 

NFPA 101

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City / State / Zip:

Phone:

Alarm certificate registration:

Name of nearest fire department:

Fire department (non-emergency) phone:

Emergency phone:

 

 

System information

 

Control panel manufacturer:

 

Model #

 

Other:

Check all the applicable system types below that were installed by the above certifying company or the system type(s) in which the company made modifications or additions.

Fire alarm/Evacuation

 

Fire detection

 

Smoke damper control

 

Sprinkler system supervision

Voice notification

 

Elevator control

 

HVAC

 

Magnetic door

Initiating devices

Type Quantity

Smoke detectors

Heat detectors

Duct smoke detectors

Beam smoke detectors

Fire alarm boxes

Initiating devices

Type Quantity

UV/IR

Isolation modules

Kitchen suppression

Sprinkler flow switch

Gas fire protection syst.

Notification appliances

Type Quantity

Bell, horn, or chime

Strobe

Speaker

Horn/chime/strobe

Speaker strobe

Fire phones

Annunciation panel

Supervisory devices

Type Quantity

Valve tamper switches

High / low air pressure

Fire pump

Circuit style Quantity

SLC 4

SLC 6

SLC 7

IDC A

IDC B

Circuit style/class Quantity

NAC Y or B

NAC Z or A

Record drawings

Company:

City / State:

Planner's name:

License num. PE or APS:

Date on plan:

Revision number/date:

Record drawings (one with original planner’s signature) Instructions describing, operation, test, and maintenance Information to aid in establishing an Emergency Evacuation Plan

The above required documents were supplied to:

Person's name:

Company’s name:

Date:

I certify, on behalf of the registered certifying company, that this fire alarm system has been tested and complies with the requirements of Texas Insurance Code, Chapter 6002, and Texas Administrative Code, Section 34.600, the Fire Alarm Rules; the applicable codes and standards; and the manufacturer's installation requirements.

Signature of licensee:

 

License number:

Printed name of licensee:

 

 

Date signed:

SF035 | 0121

FML-009A

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alarm certifying licensee completion process outlined (portion 1)

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alarm certifying licensee completion process detailed (stage 2)

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