Smoke and/or Carbon Monoxide Alarm Request Form

Complete this form to request a smoke alarm, carbon monoxide alarm or help replacing batteries on your alarms. Fields with an asterisk (*) are REQUIRED.

The Charlotte Fire Department will respond (non-emergency) to the address provided and evaluate your residence to process this request. A responsible adult must be present during the visit.

Type of Home

Homeowner or Renter?

Best Phone Number

Alternate Phone Number

Requesting:

Smoke Alarm

*Carbon Monoxide Alarm (based on available supply)

*Deaf or Hard-of-Hearing Alarm (based on available supply)

Battery Replacement on Existing Alarms

Additional Comments (Optional)

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