HAR §4-87.1-12. Placed-in-service reports

(a) The administrator shall furnish each registered service person with a supply of placed-in-service report forms as supplied by the department. The registered service person shall type or print the required information on the report, including: (1) The owner of the device; (2) The location of the device; (3) The identification number of the registered service person; (4) The rejection tag number, if any; (5) The date the device was returned to or initially placed in service; (6) The standard test or standard method used to determine compliance and certification; and (7) The certificate of conformance number of the device. (b) The report shall be executed as follows: (1) The original, after being countersigned by an agent of the owner or operator, shall be retained by the person countersigning; (2) A copy shall be forwarded to the administrator within seventy-two hours of installation or return of the device to service, along with any rejection tag removed from the device; and (3) A copy shall be retained by the registered service person. 87.1-6 P 0 5 4