Date of Quotation

This agreement is made on:

Declaration *

By ticking this box I confirm that I have viewed and read the accompanying document made available by the NSW Dept. of Fair Trading entitled "Information about registered certifiers - swimming pool inspectors" and I understand the Roles and Responsibilities of both the Owner and the Certifier.

As the Owner of the swimming pool described above and by ticking this box I confirm that I have read the agreement and accompanying documents and have freely chosen to give my consent to the engagement of the Certified Pool Inspector listed above to undertake the pool safety barrier inspections.