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.Format: (000) 000-0000.
Outdoor Seating Area Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Seating Area Type
Preferred Date for Safety Inspection
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Hour MinutesAM/PM Option
Outdoor Seating Safety Checklist (tick all that apply)
Other
Upload Photos or Supporting Documents
Cancelof
Should be Empty: