Declaration and Request for Final Certificate by Client, Principal Designer, and Principal Contractor

1) I/we confirm that I/we have fulfilled our obligations in respect of Principal Designer / Principal Contractor as defined in Regulation 16E of The Building (Approved Inspector etc.) Regulations 2010 and Part 2A (duty holders and competence) of the Building Regulations 2010 (as amended). As far as I/we are reasonably and practicably able to ascertain, the works, to the best of our knowledge, comply with the Building Regulations. I/we therefore formally request issue of the Final Certificate.

2) I/we confirm that as the person carrying out the work, I/we have passed all pertinent fire safety information to the responsible person (RP) as required by Regulation 38 of the Building Regulations such that they may adequately and reasonably fulfil their ongoing obligation under the RR(FS)O.

    I am the:

    Building Control Project Reference:
    I confirm:

    • The works are complete.

    • To the best of my knowledge, the works comply with all applicable requirements of the
      Building Regulations.

    • All dutyholder information provided in this notification is accurate.

    Building Control Project Reference:

    I confirm that the works described in the Initial Notice (e.g., internal alterations and fit-out of a 2-storey office building) have fulfilled my duties as Principal Contractor under Part 2A (Dutyholder and Competence) of the Principal Regulations.

    Building Control Project Reference:
    I confirm that the works described in the Initial Notice (e.g., internal alterations and fit-out of a 2-storey office building) have fulfilled my duties as Principal Designer under Part 2A (Dutyholder and Competence) of the Principal Regulations.

    Date Appointed:

    Upload Signature: