Ridgewood, MT · Bergen County
DACT and MFVN Verification Form
Licensed or certified alarm service providers complete this checklist when converting a DACT’s transmission from POTS to MFVN service.
What this form is
This form verifies that a Digital Alarm Communicator Transmitter (DACT) using a Managed Facility Voice Network (MFVN) meets the listed installation and testing checks. A licensed or certified alarm service provider completes it when converting a DACT’s transmission from POTS to MFVN service and submits it to the Fire Protection Subcode Official of the Local Enforcing Agency within 24 hours of conversion. It asks for identification, provider and site details, compliance checks, and a signature and date.
Who needs it
A licensed or certified alarm service provider completes this form when converting a DACT’s transmission from POTS to MFVN service.
How to submit it
Submit the completed checklist to the Fire Protection Subcode Official of the Local Enforcing Agency within 24 hours of the conversion.
About notarization
This document is signed without a notary; no notarized or sworn attachment or related step is mentioned, so the signer just signs and dates it.
How to submit this form
- 1
Download The Form
Download the DACT and MFVN Verification Form.
- 2
Complete The Identification
Enter the permit, contractor, work site, owner, and provider information requested on the form.
- 3
Complete The Checklist
Mark the listed compliance checks and have the licensed or certified alarm service provider sign and date the form.
- 4
Submit To The Official
Submit the completed checklist to the Fire Protection Subcode Official of the Local Enforcing Agency within 24 hours of conversion.
Frequently asked questions
- Do I need a notary for the DACT and MFVN Verification Form?
- No. This form has no notary block, and the licensed or certified alarm service provider signs and dates it.
- Who completes the DACT and MFVN Verification Form?
- The form says a licensed or certified alarm service provider completes the checklist when a DACT’s transmission is converted from POTS to MFVN service.
- How do I submit the DACT and MFVN Verification Form?
- Submit the completed checklist to the Fire Protection Subcode Official of the Local Enforcing Agency within 24 hours of the conversion.
- What does the checklist verify?
- It checks DACT circuit configuration, standby battery installation, MFVN equipment safeguards, qualified MFVN service, and successful retesting of alarm, trouble, and supervisory signal transmission.