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23 Statement of Compliance
Please PRINT
1. Name of Building:
2. Address:
3. I/We have installed in the above building an alteration to the system manufactured by, OR a system
manufactured by. (Name of Service Provider)
4. The system is connected to monitoring service provider by a Permanent , Non-Permanent
connection
5. Date of connection / /
6. Ancillary equipment installed / connected to the control and indicating equipment.
(See Commissioning Of Cards and Boards) Yes No
7. Current drain of ancillary loads powered from the FACP power supply
8. Primary power source voltage
9. Battery type and capacity Manufacturer AH
10. Is maintenance agreement held for the system? Yes No
11. Operator's handbook supplied? Yes No
12. Logbook supplied? Yes No
13. 'As-installed' drawings supplied? Yes No
14. Portions of the building not protected by this system are; (Please PRINT)
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