Outdoor Seating Safety Test Application Form

Outdoor Seating Safety Test Application Form
Apply to have your outdoor seating area inspected for safety compliance. Please provide all required information to ensure a thorough review.
Applicant Full Name*
First NameLast Name
Organization or Business Name (if applicable)
Contact Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Outdoor Seating Area Address*
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Seating Area Type*
Preferred Date for Safety Inspection*
MonthDayYear
Date
Hour MinutesAM/PM Option
Outdoor Seating Safety Checklist (tick all that apply)*
All seating is stable and secureTables and chairs are free from damageWalkways are clear and unobstructedEmergency exits are accessibleProper signage is displayedOther
Upload Photos or Supporting Documents
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