Republic of the Philippines
Department of the Interior and Local Government
BUREAU OF FIRE PROTECTION
egion)
R
(District/Provincial Office)
(STATION)
(Station Address)
(Telephone Number/Email Address)
Control No. _______________ _______________________
Date
C E R T I F I C A T I O N
TO WHOM IT MAY CONCERN:
This is to certify that a FIRE DRILL has been conducted at
____________________________________________________________________________
(Name of Building / Structure /Facility)
on ______________________ located at ___________________________________________
(Date) (Address)
ownedby____________________________________________________________________
(Name of Owner/Company)
pursuanttoRule10,Chapter2,Division21oftheRevisedImplementingRulesandRegulations
(RIRR) of RA 9514 otherwise known as the “Fire Code of the Philippine of 2008”.
Issued this __________________ day of ___________________________.
This certification is valid until ______________________________________________.
(Date depending on the Type of Occupancywhich requires quarterly, semi-annual or annually)
RECOMMEND APPROVAL:
___________________________________
CHIEF, FSES
APPROVED:
___________________________________
CITY/MUNICIPAL FIRE MARSHAL
NOTE: “This Certificate does not take the place of any license required by law and is not
transferable. Any change in the use of occupancy of the premises shall require a new certificate.”
PAALALA: “MAHIGPIT NA IPINAGBABAWAL NG PAMUNUAN NG BUREAU OF FIRE PROTECTION SA MGA KAWANI NITO ANG
MAGBENTA O MAGREKOMENDA NG ANUMANG BRAND NG FIRE EXTINGUISHER”
“FIRE SAFETY IS OUR MAIN CONCERN”
ISTRIBUTION:
D
Original (Applicant/Owner’s Copy)
Duplicate (BFP’s copy)
BSP-QSF-FSED-044 REV.02 (08.24.20)