Chimney Sweep Certificate Request Form
A sweep certificate template — property, appliance and recipient captured, so homeowners and landlords get the documentation insurers want.
Description
Form fields
Everything the Chimney Sweep Certificate Request Form above collects — 8 fields across 2 pages, so you can see exactly what it captures before you make it your own.
Request a Sweep Certificate
Property postcode
Short Answer
Appliance swept
Single-Select
Is this for a sweep we did?
Single-Select
Who is it for?
Single-Select
Issue the certificate to (name)
Short Answer
Your details
Your name
Name
Contact number
Telephone
Email address

No credit card
Unlimited forms
Unlimited results
Template FAQs
Common questions about the Chimney Sweep Certificate Request Form — what it captures, when to use it, and how to make it your own.
What's on a sweep certificate?
The property address, the date swept, the appliance or fireplace cleaned, a statement the work met the standard, the sweep’s company details and registration, any findings or recommendations, a signature and a unique certificate number. It’s your proof the chimney was professionally swept.
Why does my insurer want one?
Because many home insurance policies make regular professional sweeping a condition of cover. Without a valid certificate, an insurer can refuse or reduce a chimney-fire claim, so the certificate is your evidence of due diligence.
I'm a landlord — do I need this?
It’s strongly advisable — a sweep certificate shows you’ve maintained the chimney for your tenants and your insurer, and it sits alongside your other safety records. The form lets you have it issued to you or your agent.
Can I get a certificate for a past sweep?
If we did the sweep, yes — tell us the property and date on the form and we’ll reissue it. If another sweep did it, we’d normally need to sweep and inspect the chimney ourselves to certify it honestly.
Who can the certificate be issued to?
Whoever needs it — the homeowner, the tenant, the managing agent or straight to the insurer. The form asks so it’s addressed correctly for your records or your claim.
Is the request free?
Yes — free with a Fun Forms account, fully customizable, and it embeds on your site or shares as a link.
No credit card
Unlimited forms
Unlimited results







