The company listed above employs a qualified Sprinkler fitter? Yes. No ... are engaged in designing, installing and cert
FPA Australia NSW Fire Sprinkler Provider Listing
The NSW Department of Planning & Infrastructure is supporting FPA Australia in compiling a dedicated list, for display on the FPA Australia website, of member companies that:
are engaged in designing, installing and certifying fire sprinkler systems in NSW hold the appropriate NSW Office of Fair Trading Contractor’s Licence
Successfully completing and returning this form will ensure member companies who have met the necessary requirements will have their details published on this new list, which will be made available to those NSW nursing home owners and operators seeking these services. 1. Member Details Company/Business Name
Member No Last Name
First Name Address Suburb
State
P/Code
Company Email 2. NSW Office of Fair Trading Licence No (OFT). (Required for installation only) Licence No 3. My Company provides the following services Design Sprinkler Systems
Install Sprinkler Systems
Certify Sprinkler Systems
The company listed above employs a qualified Sprinkler fitter?
Yes
No
The company listed above contracts a qualified Sprinkler fitter?
Yes
No
4. Declaration
On behalf of the company listed above, I hereby declare that the information stated above is true and correct. By signing this declaration, I acknowledge that the employees / contractors engaged by the company listed above will hold the appropriate OFT licence. Print Name
Position
Signed
Date
/
/
Please Note: Companies who have not completed and returned their signed Code of Practice declaration will not be included in the NSW Fire Sprinkler Provider listing.
Please return to: FPA Australia PO Box 1049 Box Hill VIC 3128
T 1300 731 922 F 03 8892 3132 E
[email protected] 