Tucson, AZ · Pima County
Medical Gas System Verification
This certificate documents medical gas and vacuum system verification for a Tucson building project, with sections completed by the owner or agent and medical gas certifier.
What this form is
The City of Tucson Building Department form records the owner's acknowledgment that an independent party will verify the project's medical gas or vacuum system. The certifier provides qualifications and credentials before the building permit is issued, then certifies completed verification before a certificate of occupancy is issued. It asks for project details, signatures, credentials, and verification reports.
Who needs it
Owners or their legal agents and medical gas certifiers complete the applicable sections for a building project with medical gas or vacuum systems.
How to submit it
Submit the completed certificate and required attachments to the Tucson Building Department. The form says system verification reports are filed with the Building Official.
About notarization
This document is signed without a notary; the medical gas certifier attaches credentials and, after verification, system verification reports.
How to submit this form
- 1
Download The Certificate
Download the Medical Gas System Verification form for the Tucson building project.
- 2
Complete Project Details
Enter the project name, date, address, and permit number when applicable; have the owner or legal agent complete Part A.
- 3
Gather Required Attachments
The certifier attaches a copy of their credentials to Part B and system verification reports to Part C after verification.
- 4
Submit To The City
Submit the completed certificate and attachments to the Tucson Building Department; the form says reports are filed with the Building Official.
Frequently asked questions
- What is the Medical Gas System Verification form for?
- It documents the owner's acknowledgment and the medical gas certifier's responsibility and verification of a project's medical gas or vacuum systems.
- Who completes the certificate?
- The owner or legal agent completes and signs Part A. The medical gas certifier completes and signs Parts B and C at the stages stated on the form.
- Do I need a notary for the Medical Gas System Verification form?
- No. The form is signed without a notary. The certifier attaches credentials and, after verification, system verification reports.
- How do I submit the Medical Gas System Verification form?
- Submit the completed certificate and required attachments to the Tucson Building Department. The form states that system verification reports are filed with the Building Official.
Need something notarized?
This Medical Gas System Verification doesn’t need a notary — but if you have another Tucson form that does, a commissioned online notary can help.