Smoke Alarm Installation Request

Contact Information

Please provide a First and Last Name
Invalid Input
Please provide a valid phone number that you can be reached at.
Please provide your street address
Invalid Input
Invalid Input

Household Information

Invalid Input
Invalid Input
Invalid Input
Invalid Input
Please select one
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input

Release of Liability

In consideration of the installation of a smoke alarm and/or battery, you understand and agree the smoke alarm and/or battery is not warranted by the fire district in any manner and that the fire district will not maintain the smoke alarm or battery. You further agree to save, keep and hold harmless the Key Peninsula Fire Department, it officers, agents and employees from all damages to property or of personal injury of whatever nature either by reason of or in the course of performing the installation of the smoke alarm and/or battery, which may be occasioned by any neglect act or omission to act which amounts to negligence upon the part of the fire district, its officers, agents or employees.
Invalid Input
Invalid Input