Fire Sprinkler Successful Activation

SUBMIT A COMPLETED SUCCESSFUL ACTIVATION FORM AND YOU’LL RECEIVE A NIFSAB CHALLENGE COIN FOR YOUR SUBMISSION*

Fire Sprinkler Successful Activation Submittal

Please use the following form to submit a successful fire sprinkler activation to the Illinois Chapter of the National Fire Sprinkler Association. Your input is requested, desired and appreciated. If your browser does not support forms, Click here to download the PDF Version of this form.

Date of Fire

Time of Fire

Name of Occupancy/Building

Address

Address Line 1

City

State

Zip Code

Brief Description of Incident

How Many Fire Sprinklers Activated:

Estimated Amount of Money Saved:

Quote: (example: "The sprinkler system did a great job. Two sprinklers activated, extinguishing and controlling the fire prior to our arrival. The Michael's Flower Shop was open for business the same day!" -Lt. Smith, ABC Fire Department)

Your Name

First

Last

Title

Fire Department

Address

Address Line 1

City

State

Zip Code

Phone

Fax

Email *

Name

*All forms will be verified and must be submitted from a member of the fire service within Illinois only.

All “Saves” will be posted in the next edition of Fire Sprinkler Times and added to our “Saves” document available on the website and to all municipal and interested officials.

Fill out online or email a completed pdf to: [email protected].

Or mail to:
Northern Illinois Fire Sprinkler Advisory Board
62 Orland Square Drive, Suite 201
Orland Park, IL 60462