Lake Grove, NY · Suffolk County
Fire Alarm System Repair Affidavit
Fire alarm inspectors or repair representatives use this affidavit to report a system problem, its repair outcome, and the inspector’s certification to Lake Grove.
What this form is
Lake Grove’s Office of the Fire Marshal identifies this affidavit as the only proof of repair it accepts for a fire alarm system. The form records the establishment and representative, notification details, central station information, problem and inspection outcome, and inspector credentials and certification. Before testing, the form warns users to notify the office, fire department, and all occupants.
Who needs it
Fire alarm inspectors or repair representatives completing a system inspection or repair for an establishment in Lake Grove use this affidavit.
How to submit it
Submit the original copy with a signature in blue or black ink to the Lake Grove Office of the Fire Marshal at Post Office Box 708, 980 Hawkins Avenue, Lake Grove, NY 11755.
About notarization
This affidavit is signed and dated without a notary; when repairs are reported as completed, attach a legible copy of supporting paperwork, which the form does not say must be notarized.
How to submit this form
- 1
Download The Affidavit
Download the Fire Alarm System Repair Affidavit.
- 2
Complete The Form
Legibly type or print the establishment, notification, system problem, inspection outcome, and inspector information.
- 3
Gather Supporting Paperwork
If the repairs were completed, attach a legible copy of all supporting paperwork.
- 4
Sign And Date The Form
The inspector signs and dates the report; use blue or black ink for the original copy.
- 5
Submit To The Fire Marshal
Send the original signed copy to the Lake Grove Office of the Fire Marshal at the address on the form.
Frequently asked questions
- Do I need a notary for the Fire Alarm System Repair Affidavit?
- No. The form calls for the inspector’s signature and report date, not notarization. If repairs were completed, it asks for a legible copy of supporting paperwork.
- How do I submit the Fire Alarm System Repair Affidavit?
- Submit the original copy with a signature in blue or black ink to the Lake Grove Office of the Fire Marshal at the Post Office Box address listed on the form.
- What information does the affidavit request?
- It asks for establishment and representative details, fire marshal notification and central station information, the problem and inspection outcome, and inspector credentials and certification.
- What should I do before testing a fire alarm system?
- The form warns that before testing, you must notify the office, fire department, and all occupants.
Need something notarized?
This Fire Alarm System Repair Affidavit doesn’t need a notary — but if you have another Lake Grove form that does, a commissioned online notary can help.