FIRE HAZARD PROPERTIES CERTIFICATION
FORM FOR APPLICANT’S/ PRINCIPAL CONTRACTOR’S
Construction or Complying Development Certificate Number:- ………./………./………
I ..................................................................................................................................... (name)
Of .................................................................................................................................. (address)
hereby certify that the materials used for floor coverings, wall or ceiling linings comply with the requirements
of Specification C1.10 & Specification C1.10a of Volume One of the Building Code of Australia.
The appropriate product test certificates have been enclosed for your records.
Further, I am appropriately qualified and experienced to provide the certification for this component of the
project.
Signature ……………………………………………..
Date ………/………/………