Business Contact Information Form

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This field is for validation purposes and should be left unchanged.

Business Name(Required)

Business Phone Number(Required)

Address(Required)

Street Address City ZIP / Postal Code

Insurance Name / Contact Person

Insurance Phone Number

Business Owner's Information

Business Owner's Name(Required)

First Last

Primary Phone(Required)

Primary Email(Required)

Does the business owner also own the building?

If building/property owner is different than business owner, you'll need to provide the property owner's information below.

Yes

Property Owner's Name(Required)

First Last

Phone(Required)

Email(Required)

Emergency Contacts

Emergency Contact 1(Required)

First Last

Title(Required)

Email(Required)

Primary Phone(Required)

Secondary Phone

Emergency Contact 2

First Last

Title

Primary Phone

Secondary Phone

Emergency Contact 3

First Last

Title

Primary Phone

Secondary Phone

Additional Notes

Fire Protection System Inspection

Date of Fire Alarm Inspection

Date of Fire Sprinkler Inspection

Date of Fire Pump Inspection

Date of Hood Suppression Inspection

Date of Hood Cleaning Inspection

Date of Roll Up Fire Doors Inspection

Please attach a copy of your Fire Protection System Inspection.

Max. file size: 2 GB.

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Other Services

Inspection Requirements

Fire Alarm Inspection: Required annually.
Fire Sprinkler Inspection: Required annually.
Fire Pump Inspection: Required annually.
Hood Suppression Inspection: Required every 6 months.
Hood Cleaning Inspection: Required every 6 months, unless otherwise specified by a Certified Hood Cleaner.
Roll-Up Fire Doors: Required annually.

Please note that hood systems require both Hood Suppression and Hood Cleaning reports, and Hood Cleaners must be certified.