French Creek Inspection Repair Certification Form

FRENCH CREEK FALL ARREST UNIT

Inspection/Repair/Re-Certification
French Creek Fall Arrest Inspection, Repair, Annual Recertification and Maintenance Form.

You will need need an RGA#, please contact info@highcountryhardare.com with the unit serial number(s) and we will get you one.

Then, fill out this form. After completion, an email will be sent to you with PDF attached to include in each box when you ship the unit back.

You can fill out this form one time and include all serial numbers for multiple units. Then print out the form several times to include the final printed form in each box you ship.
Date

MonthDayYear
Date
RGA #
Ask your High Country Hardware Rep for this number
N/A
Model Name of the device
Client Name/Device Owner
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
More Serial Numbers. Separate by comma
Email
example@example.com
Ship the completed form and unit to:

French Creek Production
Attn: Aaron Hicks/Recertification
100 N. 13th St
Franklin, PA 16323
Should be Empty: