Fern Creek Fire EMS
Providing Emergency Services to our community.
Menu
Home
Board Of Trustees
Our District
Our Members
Training
Careers
Member Resources
Smoke Detector Request
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Name
*
First
Last
Address
*
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Do you own your home?
Yes
No
Email
Phone
*
types please
About how old is your home:
Does your home currently have smoke detectors?
Yes
No
Number of smoke of detectors
Which of the following types of smoke detectors are currently in your home?
Battery Operated (9 volt or other replaceable batter)
Battery Operated with a 10-year lithium
Hard-wired smoke dectector(s)
Hard-wired heat detector(s)
Hard-wired heat detector(s) that are moniotred by an alarm company
I dont know
other:
IF "Other" please explain
Submit