Form Center

2. Smoke Alarm Survey
   Please answer the questions below and be sure to call us or leave your contact information if you need assistance.
4. 
6. 1. Do you have working smoke alarms in your home?

   1. Yes
   2. No
7. 2. Are you physically able to check your smoke alarms and change the batteries?

   1. Yes
   2. No
9. 3. Can you afford to purchase smoke alarms for your home?

   1. Yes
   2. No
10. 4. Do you know someone who may need assistance?

    1. Yes
    2. No
12. For any questions or assistance with smoke alarms, please contact the Department of Fire and Life Safety at 890-3600, or leave an email address or phone number, so we can contact you. We are happy to help.
14. Working smoke alarms save lives. They cut the risk of dying in a home fire by half. They should be installed and maintained in every home. Smoke alarms should be installed in every sleeping room, outside each sleeping area, and on every level of the home. They should also be installed in basements.
Leave This Blank:


18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

* indicates a required field