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.

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

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

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

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
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:

FRENCH CREEK FALL ARREST UNIT