CITY OF ATLANTA · UNSIGNED AFFIDAVIT

Fill Atlanta’s A2L affidavit

Use your report or enter the details, then download an unsigned affidavit and equipment record. Free, with no account.

Use a pressure-test report

PDF only, up to 15 MB. The file stays in this browser and is not uploaded.

Enter the details manually

Actual City of Atlanta formOpen blank form See completed sample

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Form details

I confirm the City of Atlanta is the permitting authority

Job and contractor

Permit numberProject name or descriptionProject addressContractor business nameContractor license numberContractor printed nameContractor address

Equipment identifiers appear on the attached equipment record. Required signatures, test result and safety checks remain for the contractor to complete.

System 1

System identifierRefrigerantIndoor manufacturerIndoor modelIndoor serial numberOutdoor manufacturerOutdoor modelOutdoor serial numberTest mediumApplied pressure (psig)Ambient temperature (°F)Reported duration (minutes, if shown in the report)Test startTest endAtlanta time zone for recorded test times

Download unsigned form

Your work exists only in this tab and will be lost on reload.

The contractor must review the form, complete required checks and arrange signature and notarization. This draft does not claim inspection acceptance or certification.

7 required inputs remain

Confirm that City of Atlanta is the permitting authority. A postal address alone is not enough.
Project address is missing.
Permit number is missing.
Project name or description is missing.
Contractor business name is missing.
Georgia contractor license number is missing.
Contractor printed name is missing.