Republic of the Philippines

Department ofRepublic
the Interior of
andthe Philippines
Local Government
Department of the Interior
BUREAU OF FIRE PROTECTIONand Local Government
Bureau of Fire Protection

(Region)
(District/Province Office)
(Station)
(Station Address)
(Telephone No./Email Address)

Number: R-
Date

(Name of Owner)

(Name of Establishment)

(Address)

NOTICE TO COMPLY
Sir/Madam:
This has reference to the Fire Safety Inspection conducted by _____________________
(Name of Fire Safety
Inspector)
and _______________________ with Inspection Order No. ___________ on ______________
(Name of Fire Safety Inspector) (Date of Inspection)
within your premises located at the above address wherein inspector’s report revealed the
existence of the following defects/deficiencies, in the violation of the Fire Code of the Philippines
of 2008 (R.A. 9514).

Defects / Deficiencies Grace Period

In this Regard you are hereby advised to comply /correct the above mentioned
deficiencies within the above cited grace period otherwise appropriate Notice to Correct
Violation with corresponding order to pay administrative fine shall be issued by this office.

Very truly yours,

City/ Municipal Fire Marshal

PAALALA: “MAHIGPIT NA IPINAGBABAWAL NG PAMUNUAN NG BUREAU OF FIRE PROTECTION SA MGA KAWANI NITO
ANG MAGBENTA O MAGREKOMENDA NG ANUMANG BRAND NG FIRE EXTINGUISHER”

“FIRE SAFETY IS OUR MAIN CONCERN”

DISTRIBUTION:
Original (Applicant/Owner’s Copy)

BFP-QSF-FSED-010 Rev. 01 (07.05.19)

 Republic of the Philippines
Department ofRepublic
the Interior of
andthe Philippines
Local Government
Department of the Interior
BUREAU OF FIRE PROTECTIONand Local Government
Bureau of Fire Protection

Duplicate (BO or BPLO, as the case may be)

Triplicate (BFP Copy)

BFP-QSF-FSED-010 Rev. 01 (07.05.19)