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Smoke Detector Request

  1. Do you live in the City of Fayetteville?*

  2. Do you own or rent*

  3. A Fayetteville Fire Department representative will contact you at the above number to set up a date and time for firefighters to come and install the smoke detector(s) in your home.

  4. Disclaimer:

    By submitting this application, I state that I currently reside in the residence. I also agree that I have requested that my residence be evaluated for installation of smoke alarms; replacement of existing outdated/inoperable smoke alarms; or the batteries. I agree; that I will allow City of Fayetteville Fire Department personnel or designated representative(s) to enter my residence for the purpose of a smoke alarm evaluation; installations of the smoke alarms/smoke alarm batteries; and to provide fire safety information and education to those present in the residence, and that I, my heirs and legal agents, do hereby release the City of Fayetteville employee(s), officer, agent, official or designated representative(s) from any and all liability for damages, injury or casualty of any sort whatsoever involving my residence, my property, myself or any other person, which results or may result from activities conducted from this installation.

  5. Leave This Blank:

  6. This field is not part of the form submission.