Fire Protection System Discontinuance Form
Use this form to notify the Department if your building is no longer serviced by a fire protection system.
Name
*
First Name
Last Name
Email
*
example@example.com
Capacity
*
Owner
Agent
Property Manager
Other
Property Address
*
Street Address
Suite/Building Name, If Applicable
City
State / Province
Postal / Zip Code
Select which systems were taken out of service (select all that apply):
*
Fire Sprinklers
Fire Alarms
Emergency and Standby Power
Smoke Control Systems
Dampers in high-rise buildings and certain occupancies providing social entertainment.
Other
Additional Comments:
Site Contact that can provide access if inspection is needed to confirm compliance:
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Preferred Time of Inspection
*
Monday through Friday AM
Monday through Friday PM
After Hours or Weekends
Other
*
By clicking this box, I certify that the information provided above is accurate.
Supporting Documentation (Optional)
Browse Files
Cancel
of
Submit
Should be Empty: