Indiana GSF System Registration Form

In accordance with manufacturer's requirements for each installation, Indiana installers of Eljen systems must complete and submit this form online, or download a copy and submit to one of the following addresses:

US Mail:  Eljen Corporation, 125 McKee St., East Hartford, CT 06108

Email:  IndianaGSFSystem@eljen.com Subject:  IN GSF System Installation Form

Fax:  860-610-0427 Subject:  IN GSF System Installation Form

Required fields are denoted by   

Installer name

Installer Company

Address

State

Include name, address, and contact information

Include name, company and contact information.

  • B43 (48" x 36" x 7")
  • A42 (48" x 24" x 7")
  • B23 (24" x 36" x 7")

Number of Bedrooms x 150 GPD=

  • Subsurface Bed
  • Trench
  • Elevated Mound
  • Gravity
  • Pressure
  • Flood Dosed

Refer to section labeled "notes" below tables 5&6 in manual

Gravity & Flood dosed systems have a max length of 100 ft.

  • Yes
  • No

Venting is required if system cover exceeds 18".

  • Yes
  • No

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