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HVAC Certification Form

HVAC Certification Form 2026

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The document outlines the contact information and roles of key personnel in the Pittsfield Charter Township's Department of Building Services, including a HVAC certification form to be completed by licensed mechanical contractors. It includes sections for service details, equipment inspection, and contractor verification.

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Click ‘Get Form’ to open the HVAC Certification form in our editor.
Begin by entering the Service Date, Property Address, and Property Owner details in the designated fields.
Fill in your Company Name, Contractor Name, and Contractor License Number accurately to ensure proper identification.
Select the Equipment Inspected by checking the appropriate box for either Furnace or Boiler.
Provide details about the Equipment Make, Model Number, and Serial Number in their respective fields.
In the Description of Work Performed section, describe any work done clearly and thoroughly.
Indicate whether the furnace/boiler is clean and safe to operate by selecting 'Yes' or 'No'.
If applicable, confirm if fire dampers are clean and safe to operate by selecting the appropriate option.
Finally, sign the form electronically in the Contractor Signature field before submitting.

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