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Home
/ Hotels & Motels
for Federal Travelers / State
Management / Federal Hotel and Motel Fire
Safety Declaration Form

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Federal hotel and motel fire safety declaration form

This form is being submitted to
Add a previously unlisted property to the National Master
List.

Step 1 of 3: Property information

Status
ApprovedDeleted
DeniedPendingUnconfirmed

Property typeHotel/MotelApartment Building
College/UniversityBed &
BreakfastOther

General manager

Property name

Federal Employer ID Number

P.O. Box optional

Street Address

City/State: Not required

Zip Code

Property Office Phone Number

Reservations Phone Number

Property Fax optional

Property Email

Website optional

Step 2 of 3: Smoke alarms/automatic
sprinkler systems

Smoke alarm equipped

Each guest room is equipped with at least one hard-wired single station
smoke alarm installed in accordance with National Fire Protection
Association (NFPA) Standard 72. Note: smoke alarms that are solely battery
operated do not qualify.

Yes No

Automatic sprinkler equipped

Number of floors

Sprinklers required unless three
stories or fewer in height

If sprinklers installed on or after October 25,
1992 This property has an automatic sprinkler
system installed in accordance with NPFA Standard 13 or 13R, whichever is
appropriate, in accordance with the requirements of the Act.

If sprinklers installed before October 25,
1992 This property has an automatic sprinkler
system installed in compliance with an applicable standard (adopted by the
governmental authority having jurisdiction, and in effect, at the time of
installation), provided such standard required the placement of a sprinkler head
in the sleeping area of each guest room.

This property is three or fewer stories in
height and is therefore exempt from the Act's
automatic fire sprinkler requirements.

Step 3 of 3: Declaration

By submitting this form, you attest that the information supplied on this
form is true and accurate to the best of your knowledge and belief. Therefore,
this property is entitled to be included in the National Master List of public
accomodations compiled by the United States Fire Administration. This
information is subject to verification by federal, state, and local fire
authorities, and you are subject to fines of up to $10,000 and/or imprisonment
for up to five years if you knowingly make false or fraudulent statements to the
government.

Name

Title

Organization

Your phone number

Extension optional

Fax number optional

Contact email address

For more information contact the:

United States Fire Administration
16825 S. Seton
Ave.
Emmitsburg, MD 21727
Tel. (301) 447-1263

Paperwork burden disclosure notice FEMA
Form 516-0-1

Property Owners/Managers

Public reporting burden for this data collection is estimated to average
15 minutes per response. The burden estimate includes the time for reviewing
instructions, searching existing data sources, gathering and maintaining the
data needed, and completing and submitting this form. This collection of
information is voluntary. You are not required to respond to this collection
of information unless a valid OMB control number is displayed on this form.
Send comments regarding the accuracy of the burden estimate and any
suggestions for reducing the burden to: Information Collections Management,
Department of Homeland Security, Federal Emergency Management Agency, 500 C
Street, SW, Washington, DC 20472-3100, Paperwork Reduction Project
(1660-0068) NOTE: Do not send your completed form to this
address.

States

Public reporting burden for this data collection is estimated to average
20 minutes per response. The burden estimate includes the time for reviewing
instructions, searching existing data sources, gathering and maintaining the
data needed, and completing and submitting this form. This collection of
information is voluntary. You are not required to respond to this collection
of information unless a valid OMB control number is displayed on this form.
Send comments regarding the accuracy of the burden estimate and any
suggestions for reducing the burden to: Information Collections Management,
Department of Homeland Security, Federal Emergency Management Agency, 500 C
Street, SW, Washington, DC 20472-3100, Paperwork Reduction Project
(1660-0068) NOTE: Do not send your completed form to this
address.

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National Fire Academy's second semester (Apr. – Sept. 2015) application period
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how to apply.

U.S. Fire Administration

16825 S. Seton Ave.,
Emmitsburg, MD 21727

800‑238‑3358

301‑447‑1000

Admissions fax: 301‑447‑1441