Complete this form to apply for approval of an evacuation scheme. For guidelines on completing and submitting this application see: Evacuation scheme application reference guide Submit a new evacuation scheme application guide. All questions must be answered, unless it is indicated they are not required based on a previous answer. Ensure you have completed and attached the following documents: Fire action sign/notice (mandatory, see question 4.1) Evacuation training programme (if relevant, see question 4.8) Site plan and floor plan showing means of escape (if relevant, see question 5.4) Copy of your proposed evacuation scheme (produced by the building owner for the occupants) (mandatory) Send the completed form and supporting information to the Fire Information Unit: email: post: PO Box 68042, Wellesley Street, Auckland 1141 fax: 09 309 0483 Section 1 Application details 1.1 Building owner Name: Postal address: Suburb: City: Post code: Contact phone number: Email address: 1.2 Nominated contact Select if the building owner is the nominated contact person: person Building owner If not, complete the nominated contact person’s details: Name: Postal address: Suburb: City: Post code: Contact phone number: Email address: 1.3 Application type This application is for: a new building an existing building
Complete this form to apply for approval of an evacuation scheme. For guidelines on completing and submitting this application see: Evacuation scheme application reference guide Submit a new evacuation scheme application guide. All questions must be answered, unless it is indicated they are not required based on a previous answer. Ensure you have completed and attached the following documents: Fire action sign/notice (mandatory, see question 4.1) Evacuation training programme (if relevant, see question 4.8) Site plan and floor plan showing means of escape (if relevant, see question 5.4) Copy of your proposed evacuation scheme (produced by the building owner for the occupants) (mandatory) Send the completed form and supporting information to the Fire Information Unit: email: post: PO Box 68042, Wellesley Street, Auckland 1141 fax: 09 309 0483 Section 1 Application details 1.1 Building owner Name: Postal address: Suburb: City: Post code: Contact phone number: Email address: 1.2 Nominated contact person Select if the building owner is the nominated contact person: Building owner If not, complete the nominated contact person’s details: Name: Postal address: Suburb: City: Post code: Contact phone number: Email address: 1.3 Application type This application is for: a new building an existing building