Form COM5020 "Application for Individual Fire Protection Certification" - Ohio

What Is Form COM5020?

This is a legal form that was released by the Ohio Department of Commerce - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 2019;
  • The latest edition provided by the Ohio Department of Commerce;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form COM5020 by clicking the link below or browse more documents and templates provided by the Ohio Department of Commerce.

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Download Form COM5020 "Application for Individual Fire Protection Certification" - Ohio

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INDIVIDUAL FIRE PROTECTION CERTIFICATION APPLICATION
REFERENCE MATERIALS FOR FIRE PROTECTION CERTIFICATION EXAMS
The exams are prepared from the Ohio Administrative Code section 1301:7-7-09 (Ohio Fire Code), 2017
edition, Ohio Building Code Chapter 9, 2017 edition, and the referenced editions of the National Fire
Protection Association Standards as listed below.
AUTOMATIC SPRINKLER AND STANDPIPE SYSTEMS: NFPA 13 – 2016 edition; NFPA 14 – 2016
1.
edition; NFPA 13R – 2016 EDITION; NFPA 13D – 2016 edition; NFPA 25 – 2014 edition
FIRE SERVICE MAINS: NFPA 24 – 2013 edition; NFPA 25 – 2014 edition
2.
FIRE PUMPS: NFPA 20 – 2016 edition; NFPA 25 – 2014 edition
3.
FIRE ALARM AND DETECTION EQUIPMENT: NFPA 72 – 2016 edition
4.
PORTABLE FIRE EXTINGUISHERS: NFPA 10 – 2013 edition
5.
ENGINEERED EXTINGUISHING EQUIPMENT OTHER THAN WATER: NFPA 11 – 2016 edition;
6.
NFPA 12A – 2015 edition; NFPA 12 – 2015 edition; NFPA 16- 2015 edition; NFPA 17 – 2017 edition;
NFPA 2001-2015 edition
PRE-ENGINEERED EXTINGUISHING EQUIPMENT OTHER THAN WATER: NFPA 17 – 2017
7.
edition; NFPA 17A – 2017 edition; NFPA 2001 - 2015 edition
HOUSEHOLD FIRE WARNING EQUIPMENT ONLY: NFPA 72 – chapter 29 ONLY – 2016 edition
8.
AEROSOL EXTINGUISHING EQUIPMENT: NFPA 2010 - 2015 edition
9.
DIESEL FIRE PUMP TECHNICIAN: NFPA 25 - chapter 8 ONLY – 2014 edition, NFPA 20 - chapter
10.
3, 11, &14 ONLY – 2016 edition
You must supply your own reference material. All exams are closed book and you will
have two hours to take the exam. Exams are administered by PSI Services.
To obtain copies of the NFPA Standards, call (800) 344-3555 or
https://www.nfpa.org/codes-and-
standards/all-codes-and-standards/free-access. To obtain copies of the Codes, call (888) 422-7233
EXT. 33801 or http://codes.ohio.gov/oac/1301:7-7-09v1,
http://codes.ohio.gov/orc/3737
614-752-7126
(1)
Bureau of Testing & Registration
Fax 614-995-4206
8895 East Main Street
1-877-264-0023
Reynoldsburg, Ohio 43068
webfmtr@com.state.oh.us
COM 5020
An Equal Opportunity Employer and Service Provider
7/2019
INDIVIDUAL FIRE PROTECTION CERTIFICATION APPLICATION
REFERENCE MATERIALS FOR FIRE PROTECTION CERTIFICATION EXAMS
The exams are prepared from the Ohio Administrative Code section 1301:7-7-09 (Ohio Fire Code), 2017
edition, Ohio Building Code Chapter 9, 2017 edition, and the referenced editions of the National Fire
Protection Association Standards as listed below.
AUTOMATIC SPRINKLER AND STANDPIPE SYSTEMS: NFPA 13 – 2016 edition; NFPA 14 – 2016
1.
edition; NFPA 13R – 2016 EDITION; NFPA 13D – 2016 edition; NFPA 25 – 2014 edition
FIRE SERVICE MAINS: NFPA 24 – 2013 edition; NFPA 25 – 2014 edition
2.
FIRE PUMPS: NFPA 20 – 2016 edition; NFPA 25 – 2014 edition
3.
FIRE ALARM AND DETECTION EQUIPMENT: NFPA 72 – 2016 edition
4.
PORTABLE FIRE EXTINGUISHERS: NFPA 10 – 2013 edition
5.
ENGINEERED EXTINGUISHING EQUIPMENT OTHER THAN WATER: NFPA 11 – 2016 edition;
6.
NFPA 12A – 2015 edition; NFPA 12 – 2015 edition; NFPA 16- 2015 edition; NFPA 17 – 2017 edition;
NFPA 2001-2015 edition
PRE-ENGINEERED EXTINGUISHING EQUIPMENT OTHER THAN WATER: NFPA 17 – 2017
7.
edition; NFPA 17A – 2017 edition; NFPA 2001 - 2015 edition
HOUSEHOLD FIRE WARNING EQUIPMENT ONLY: NFPA 72 – chapter 29 ONLY – 2016 edition
8.
AEROSOL EXTINGUISHING EQUIPMENT: NFPA 2010 - 2015 edition
9.
DIESEL FIRE PUMP TECHNICIAN: NFPA 25 - chapter 8 ONLY – 2014 edition, NFPA 20 - chapter
10.
3, 11, &14 ONLY – 2016 edition
You must supply your own reference material. All exams are closed book and you will
have two hours to take the exam. Exams are administered by PSI Services.
To obtain copies of the NFPA Standards, call (800) 344-3555 or
https://www.nfpa.org/codes-and-
standards/all-codes-and-standards/free-access. To obtain copies of the Codes, call (888) 422-7233
EXT. 33801 or http://codes.ohio.gov/oac/1301:7-7-09v1,
http://codes.ohio.gov/orc/3737
614-752-7126
(1)
Bureau of Testing & Registration
Fax 614-995-4206
8895 East Main Street
1-877-264-0023
Reynoldsburg, Ohio 43068
webfmtr@com.state.oh.us
COM 5020
An Equal Opportunity Employer and Service Provider
7/2019
FILING INSTRUCTIONS FOR INDIVIDUAL CERTIFICATION
APPLICATION
A. Applications must be typewritten or neatly printed.
B. Application fee is $35.00 per category. Make check(s) or money order(s) payable to Treasurer,
State of Ohio. Application fee(s) are non-refundable. Once you are approved to take the exam,
eligibility to test is valid for 90 days. Submit page (3) of this application to:
Division of State Fire Marshal
Testing & Registration Bureau
8895 E. Main St.
Reynoldsburg, OH 43068
Phone # (614)752-7126 or 1(877)264-0023
Fax to (614)995-4206
Email address: webfmtr@com.state.oh.us
C. Pursuant to Ohio Administrative Code Section 1301.7-7-09(P)(9), OFC 916.9 “an individual must be a
company certified pursuant to paragraph (P)(4)(OFC 916.4) of this rule or must be associated with a
certified company when such individual engages in the business of servicing, testing, repairing or
installing fire protection or firefighting equipment for profit.”
D. Non-Ohio residents must submit a notarized irrevocable consent to service form (your
application cannot be processed until the State Fire Marshal (SFM) has received this form).
https://www.com.ohio.gov/documents/fire_com5028.pdf
E. If you check categories 6, 7, or 9 you must submit at least one of the following to be approved
for examination:
Proof from the manufacturer of training or approval to work on the manufacturer’s
1.
engineered or pre-engineered systems.
2.
Inspection Reports demonstrating that the applicant has witnessed the code compliant installation/major
repairs of ten (10) engineered or pre-engineered systems within two (2) years immediately prior to
making application.
The documentation shall include:
a)
The name and license number of the individual performing such installation/major repairs
b)
Type of systems observed/installed (kidde, ansul, etc.)
c)
Date and location of installation/major repairs
F. Exams are administered by PSI Services. Once approved for testing by SFM, you will receive a
confirmation email with instructions on how to contact PSI to schedule your exam. You will not be able to
schedule examinations until SFM has approved you for testing.
G. There is an additional fee to PSI to take the exam. See the Candidate
Information Bulletin (CIB) for additional fees and exam locations.
Link to PSI Candidate Information Bulletin:
https://candidate.psiexams.com/bulletin/display_bulletin.jsp?
ro=yes&actionname=83&bulletinid=837&bulletinurl=.pdf
(2)
614-752-7126
Bureau of Testing & Registration
Fax 614-995-4206
8895 East Main Street
1-877-264-0023
Reynoldsburg, Ohio 43068
webfmtr@com.state.oh.us
COM 5020
An Equal Opportunity Employer and Service Provider
7/2019
APPLICATION FOR INDIVIDUAL FIRE PROTECTION CERTIFICATION
FOR OFFICE USE ONLY
54-
CANDIDATE ID#
ELIGIBILITY DATE
INDIVIDUAL INFORMATION:
NAME: ________________________________________________________DATE OF BIRTH: __________
(Legal Name as it appears on Government Issued I.D.)
ADDRESS: _____________________________________________________SSN: ______ - ______ - _____
CITY: ___________________________________________STATE: ____________ZIP: _________________
PHONE: ____________________________FAX: _______________________COUNTY: ________________
EMAIL ADDRESS: ________________________________________________________________________
(Exam Approval Notice Will Be Emailed)
COMPANY NAME: ____________________________________COMPANY LICENSE#: ________________
CATEGORIES FOR TESTING, $35.00 per category
1. AUTOMATIC SPRINKLER AND STANDPIPE
2. FIRE SERVICE MAINS
3. FIRE PUMPS
4. FIRE ALARM AND DETECTION EQUIPMENT (Residential and Commercial)
5. PORTABLE FIRE EXTINGUISHERS
6. ENGINEERED EXTINGUISHING EQUIPMENT OTHER THAN WATER (OTW)
7. PRE-ENGINEERED EXTINGUISHING EQUIPMENT OTHER THAN WATER (OTW)
8. HOUSEHOLD FIRE WARNING EQUIPMENT ONLY (Residential)
9. AEROSOL EXTINGUISHING EQUIPMENT
10. DIESEL FIRE PUMP TECHNICIAN
TOTAL $_____________
____________________________________________________________________________DATE: _______________
APPLICANT’S SIGNATURE
Bureau of Testing & Registration
(3)
614-752-7126
8895 East Main Street
Fax 614-995-4206
Reynoldsburg, Ohio 43068
1-877-264-0023
COM 5020
webfmtr@com.state.oh.us
7/2019
An Equal Opportunity Employer and Service Provider
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