Rowlett, TX · Dallas County
Medical Gas Installer and Verifier Affidavits
This three-page form includes sworn affidavits for the responsible master plumber and medical gas verifier to complete for a system installed or verified in Rowlett.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
The form sets out Rowlett’s medical gas permit requirements and includes separate affidavits for the responsible master plumber and the verifier. Each signer certifies information about the installation or verification and the qualifications of the workers or verifiers involved. The city requires both affidavits to be completed and notarized as part of its medical gas requirements; the form also describes inspection and approval steps.
Who needs it
The responsible master plumber for a medical gas installation and the verifier who checked the system each complete and notarize their own affidavit.
How to get this notarized
- 1
Download the Form
Download Rowlett’s Medical Gas Requirements form and locate the installer or verifier affidavit that applies to you.
- 2
Complete the Affidavit
Fill in the installation address and your identifying information. Review the certification before signing.
- 3
Book an Online Notary
Schedule a video appointment with a commissioned online notary and have your identification ready.
- 4
- 5
Submit to the City
Submit the notarized affidavit to the City of Rowlett with your medical gas permit materials.
Preview the form
The blank PDF straight from Rowlett. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I notarize the medical gas affidavits online?
- Complete the appropriate affidavit, book an appointment with a commissioned online notary, and sign during the video session. Submit the notarized affidavit to the city with your medical gas permit materials.
- Do I need to notarize both affidavits?
- The form says installers must complete an installer affidavit and verifiers must complete a verifier affidavit, and that each affidavit must be notarized. Each signer completes their own affidavit.
- Can I use an online notary for this form?
- Texas has authorized remote online notarization since 2018 under Government Code Chapter 406, Subchapter C. Texas also recognizes acknowledgments taken by notaries of other states under CPRC §121.001; confirm with the city if unsure.
- What should I do after the affidavit is notarized?
- Submit the completed, notarized affidavit to the City of Rowlett as part of the medical gas requirements. The form says inspections must be requested by phone or through the contractor Internet portal.