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Charlotte Fire Department Fire Prevention Bureau

500 Dalton Avenue Charlotte, NC 28206

Impairment Hotline: 704-353-0970

System Impairment Notification

NOTE: If you have not yet been issued a CFD System ID #, as requested below, enter a "0". This number will be supplied in the near future by your area fire inspector during the next routine inspection.

You must provide the name of the impairment coordinator (using generic terms such as "security" is not sufficient) and you must provide a description and reason for impairment.

Full Address

ID# on the Alarm Panel Notification Requirement sticker affixed by Fire Prevention Bureau Inspectors. If no number issued, enter "0".

Impairment Coordinator/Reporting Person

Monitoring Company Notification

Date Notified

Fire Watch Personnel

Alarm Panel Personnel