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SUPPLEMENTAL HEATING DEVICE QUESTIONNAIRE (Submit photos of heating unit, chimney and wall connections) Name of insured: Agent Name: Agent Number: Policy Number: c New Business c Renewal Heating Unit
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How to fill out supplemental heating device questionnaire

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How to fill out a supplemental heating device questionnaire:

01
Start by carefully reading the questionnaire instructions and requirements. Make sure you understand what information is being asked for and the purpose of the questionnaire.
02
Begin by providing your personal details such as your name, address, and contact information. This is important to ensure that the questionnaire can be associated with the correct individual or household.
03
Follow the instructions and answer each question accurately and honestly. The questions in the questionnaire may vary but could include details about the type of supplemental heating device you are using, its make and model, installation date, and any maintenance or safety concerns.
04
If there are any additional sections or follow-up questions related to the use of your supplemental heating device, be sure to provide the requested information in a clear and concise manner.
05
Review your answers before submitting the questionnaire to ensure accuracy. Double-check any important details, such as contact information or model numbers, to avoid any potential misunderstandings.

Who needs a supplemental heating device questionnaire?

01
Individuals or households who use supplemental heating devices in their homes or workplaces may be required to fill out a supplemental heating device questionnaire. This could include those who utilize space heaters, fireplaces, wood stoves, or any other form of additional heating.
02
Property owners or landlords may also need to complete this questionnaire for each unit or property that utilizes supplemental heating devices. This helps ensure compliance with local regulations and safety standards.
03
Insurance companies or regulatory authorities may request a supplemental heating device questionnaire to assess risk and ensure proper fire and safety precautions are in place.
Remember to always follow any specific instructions provided when filling out the supplemental heating device questionnaire.
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Supplemental heating device questionnaire is a form used to gather information about additional heating devices, such as space heaters, used in a building.
Owners or tenants who have supplemental heating devices in a building are required to file the questionnaire.
The questionnaire can be filled out online or in paper form by providing information about the type, location, and usage of supplemental heating devices.
The purpose of the questionnaire is to ensure compliance with safety regulations and to track energy usage of supplemental heating devices.
Information such as the type of heating device, its location in the building, and the hours of operation must be reported on the questionnaire.
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