Old Fort Fire & Rescue :: Smoke Detector Installation

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Smoke Detector Installation Request
Utilize this form to request the Old Fort Fire Department to contact you in regards to installing a free smoke detector.

Full Name:

Street Address:

Phone Number:

###

####

Best Contact Time:

AM/PM

Residence Information

The information below helps us better in determining your needs, however, is not required.

What is the size of your residence:

Do any children live in the residence:

Yes

Do any elderly persons live in the residence:

Yes

Do you have any functional smoke detectors currently:

Yes

Unsure