Lic 9092-2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your facility name in the designated field. This is crucial for identifying your request.
3. Fill in the address, city, and ZIP code of your facility. Accurate information ensures proper communication with the Fire Authority.
4. Select the type of facility you are requesting a pre-inspection for by checking the appropriate box: Community Care Facility, Residential Care Facilities for the Chronically Ill, Residential Care Facility for Elderly, or Child Day Care Facility.
5. Indicate your facility's capacity by selecting either '25 or less clients' or '26 or more clients'.
6. Provide the number of non-ambulatory clients if applicable.
7. Enter your name as the owner/contact along with your telephone number for follow-up communication.
8. Finally, sign and date the form to validate your request before submission.

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