Smoke Alarm Certificate Form PDF Details

Having a smoke alarm in your home is one of the most important safety measures you can take. Not only do these devices alert you to potential fire or smoke danger, but many municipalities also require that homeowners prove they have an up-to-date system installed. In order to make sure every household meets its civic responsibility, almost all regions have developed a specific Smoke Alarm Certificate Form which must be provided at regular intervals as proof of ongoing compliance. Today we’ll provide an overview of what this form entails and how you can use it to ensure your family’s safety—as well as save yourself valuable time and effort when dealing with local inspections!

QuestionAnswer
Form NameSmoke Alarm Certificate Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namessmoke alarm certificate nsw, smoke alarm certificate, smoke alarm test certificate template, smoke alarm test certificate template nsw

Form Preview Example

PLANNING AND ENVIRONMENT

Cnr Queen Street and Broughton street (PO Box 57) Campbelltown NSW 2560 Phone (02) 4645 4608 Fax (02) 4645 4111 DX5114

Smoke Alarm Installation Certificate (Residential Properties)

Privacy Statement

The information requested by Council on this form may constitute personal information under the Privacy and Personal Information Protection Act 1998. Council is allowed to collect the information from you to consider this matter. Supplying this information is voluntary. However if you cannot or do not wish to provide the information, we may not be able to consider the matter. If you need further details, please contact the Privacy Officer, Campbelltown City Council, cnr Queen and Broughton Streets, Campbelltown.

 

 

Street Address:

 

 

 

 

 

 

 

 

 

 

 

Suburb:

 

 

 

 

Subject Property

 

 

 

 

 

 

 

 

 

 

 

Lot/Unit:

DP/SP:

 

Sec No.:

 

 

 

 

 

 

 

 

 

 

 

 

 

DA Number:

 

Date of Consent:

 

 

 

 

 

 

 

 

 

 

 

Application Details

CC Number:

 

Date of Issue:

 

 

 

 

 

 

 

CDC Number:

 

Date of Issue:

 

 

 

 

 

 

 

 

 

 

 

 

Installers Declaration

I certify that the smoke alarm system installed by me at the abovementioned property for the works subject of this application:

a)are connected to the consumer mains power; and

b)are interconnected where there is more than one alarm; and

c)comply with the National Construction Code, Part 3.7.2 (Vol2); and

d)comply with AS 3786.

 

 

Name:

 

 

 

 

 

Company Name (if applicable):

 

 

 

 

 

 

 

Installer's Details

Address:

 

 

 

 

 

Licence No.:

Phone:

Fax:

Signature:Date:

Further enquiries: Please contact Council's Development Services Section on (02) 4645 4608.

 

DATA AND DOCUMENT CONTROL

 

Development Services

Revised Date: 17/02/2020

Version: 4

DocSet: 2153575

Review Date: 30/03/2022

Page 1

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