FIRE ALARM MONITORING REQUEST FORM - INSTRUCTIONS
The following information must be included on the Fire Alarm Monitoring Request form.
Location:
Describe the exact location of work to be performed, using room name or numbers, floor level, along with a
general description of the area.
Date:
Provide the date the request is submitted.
Contractor:
Provide the name of the contractor’s company or PRC department.
Phone:
Provide the phone number of the person submitting requesting.
Requested By:
Provide the name of the person submitting request.
E-mail:
Provide the e-mail for person submitting requesting.
Start Time and Date:
Provide the date and time the work is scheduled to begin that requires the fire alarm system to be placed in
test.
End Time and Date:
Provide the date and time the work is scheduled to end. For multiple dates interrupted by periods where
the system is not in test, complete a separate form.
Fire Permit #:
Provide permit number issued by fire department (if applicable) for construction or operation requiring the
fire alarm to be monitored. A fire permit is required for tenant improvements/modifications and installations
of all fire protection systems.
Building Permit #:
Provide permit number issued by building official (if applicable) for construction.
Fire Protection Systems:
For work on fire protection systems, mark type of work being performed: ITM (inspection, test,
maintenance), Repair, or TI (tenant improvement/modification).
Detailed Description of Work / Event:
Provide detailed information of the location and nature of the work or event to be performed while the system
is in test. Details for impairments of fire protection systems shall be sufficient to comply with CFC 901.7.2 –
901.7.4.
Workers on Site:
Provide names and contact information for key workers on site. These workers will be contacted in the event
of an alarm activation, so it is important that cellular telephone numbers are provided.
Authorization to Perform Work:
Email this completed form to the primary contacts provided as well as the specific PRC employee
responsible for work / event described. Include the date of notification if different than date submitted.
Submitting this form to the entities listed shall serve as notification to fire department and others required
by CFC 901.7.4.
If Audible and Visual Alarms are Required:
If audible alarms are necessary, list the areas affected. Occupants shall be notified by posting
approved signs in public and employee entrances at least 1 hour prior to alarm. Live announcement
shall be made immediately before and after alarm.
