Smoke Detector Request

2. First Name*
3. Last Name*
5. Phone Number*
6. Email Address
8. Address*
10. City*
11. State*
12. Zip Code*
16. Do you own or rent this property?*

    1. Own
    2. Rent
20. Number of Smoke Detectors Requested*
21. Preferred Installation Days/Times
23. Additional Comments
25. Notice

    Please allow 3-5 business days for RBFD to reach out to schedule your smoke detector installation. Scheduling is based on availability of crews, training schedules, and other department activities. Appoinments may be delayed by emergency calls for service. 

Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field