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2. If you are interested in having smoke detectors and carbon monoxide detectors installed in your home, please fill out the following information and a member of our Fire Prevention Division will contact you to set up an appointment.  

   An Inspector will come to your home and install the detectors in the required areas.

   Installations are available Monday through Friday, between 8 a.m. and 2 p.m.

4. Contact Name*
5. Phone Number*
7. Address*
8. Email Address*
10. Total Number of Stories*
11. Total Number of Bedrooms*
13. Basement?*

    1. Yes
    2. No
14. Any bedrooms in the basement?*

    1. Yes
    2. No
15. Are any household members hearing impaired?*

    1. Yes
    2. No
17. Requested Date*

    Monday through Friday only. 

18. Backup Date*

    Please enter 2-3 backup dates in case your original requested date is not available.

    
    

20. Requested Time*

    Available 8 a.m. to 2 p.m.

Leave This Blank:


22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field