Waterford Township, MT · Camden County

No notary required

Chimney Verification

This form records chimney and vent verification for replacement fuel-fired equipment and is completed by the property owner or verifying individual.

What this form is

The form documents the condition, lining, and sizing of an existing chimney or vent for replacement fuel-fired equipment. It asks for the work-site and equipment details, chimney and liner information, and a signed verification or a statement that verification is not being submitted. For minor and emergency work, provide it with the permit application; for other work, present it to the code official before final inspection.

Who needs it

Property owners or verifying individuals involved in fuel-fired equipment replacement use this form to document chimney or vent verification.

How to submit it

For minor and emergency work, provide this form with the permit application. For all other work, present it to the code official before final inspection.

About notarization

This document is signed without a notary; the signer signs and dates the applicable verification statement or the verification-not-submitted statement.

How to submit this form

  1. 1

    Download The Form

    Download the Chimney Verification PDF.

  2. 2

    Complete The Form

    Fill in the work-site, verifying individual, equipment, and chimney or vent information.

  3. 3

    Sign And Date

    Sign and date the applicable verification statement or the verification-not-submitted statement.

  4. 4

    Provide The Form

    For minor and emergency work, provide it with the permit application; otherwise, present it to the code official before final inspection.

Frequently asked questions

What does the Chimney Verification form document?
It records chimney or vent condition, lining, and sizing for replacement fuel-fired equipment, along with work-site and appliance details and a signed verification statement.
When must I provide the form?
For minor and emergency work, provide it with the permit application. For all other work, present it to the code official before final inspection.
Do I need a notary for the Chimney Verification form?
No. This document is signed without a notary; the signer signs and dates the applicable verification statement or the verification-not-submitted statement.
How do I submit the Chimney Verification form?
For minor and emergency work, provide it with the permit application. For other work, present it to the code official before final inspection.

Need something notarized?

This Chimney Verification doesn’t need a notary — but if you have another Waterford Township form that does, a commissioned online notary can help.