Follow the steps to complete the FS 09122 form online.

1. Press the ‘Get Form’ button to access and open the FS 09122 form in your preferred online editor.
2. Begin by filling out the appliance and equipment section. Enter the company name, address, contact person’s name, and telephone number.
3. Next, provide details about the appliance including the manufacturer, model, and serial number. Specify the type of fuel used as well as the minimum and maximum input ratings.
4. Complete the ratings for low fire and high fire indicated in the respective fields provided.
5. Fill in the details regarding the vent connector including the manufacturer, type/model number, diameter, length, offset, and rise.
6. Continue with the chimney manufacturer details in a similar manner, providing type/model number, diameter, length, offset, and rise.
7. Indicate the natural air supply size of the combustion air opening and ventilation air opening.
8. If mechanical air supply is utilized, enter the flow rate and means of interlock here.
9. Complete the CO2, CO, and O2 readings along with the net stack temperature, draft reading, and efficiency for both low and high fire.
10. Provide the post-purge time, protected gas supply pressure, and pertinent details for low fire start proven and pre-purge time.
11. For the various valve and burner manufacturers, list out each component's model number, set point, and whether it is vented or certified.
12. Ensure all combustion safety control devices and pilot burner details are filled appropriately.
13. Once all sections are completed, review the form carefully for accuracy.
14. Finally, save your completed form, download it for your records, or print it directly if needed.

Start filling out the FS 09122 Field Approval Submission Summary online today!