SF035 | 0121 FML-009A
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.
The system complies with the following codes and standards.
Certifying alarm company:
Name of nearest fire department:
Fire department (non-emergency) phone:
Alarm certificate registration:
Control panel manufacturer:
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.
Sprinkler system supervision
Gas fire protection syst.
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:
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.
Printed name of licensee:
click to sign
signature
click to edit