• Fire and Burn Safety Coalition of Maryland (FABSCOM) - Alarm Devices for Deaf or Hard of Hearing

    FABSCOM helps Maryland residents with a qualified need to obtain a home alarm set-up that offers a visual and sensory alarm to alert them if their smoke or Carbon Monoxide alarm activates.

  • To request help obtaining an alarm set-up and participate in this offering we need you to answer all questions and then submit the application

  • Applicants receiving help must be Maryland residents and certify they are deaf or hard of hearing

  • This application will ask you to upload certification of need in the form of a letter from a doctor, medical provider or audiologist certifying your need for these assistive alarm set-ups

  • Applicants living in institutional facilities such as dorms, nursing homes, assisted livings, etc, cannot be considered as part of the FABSCOM assistance.

  • Privacy Information collected is kept confidential and used for follow-up by FABSCOM only.

  • Date of This Request 
     - -

  • Applicant

    Please provide info about the applicant needing an alarm device
  • Date of Birth *
     - -

  • Contact Info

    Please provide your contact information here.
  • Format: (000) 000-0000.

  • Contact Person/Guardian

    Please provide a contact person if you need assistance with scheduling the alarming device installation.
  • Format: (000) 000-0000.

  • Residence Where Alarm Will Operate

    Please describe the residence of the applicant so that we may anticipate the type and quantity of alarm devices needed.
  • What type of residence does the applicant live in*
  • Number of floors in your home. For Single Family, Town Homes, Row Houses include the basement as a floor. For apartments, manufactured homes, accessory dwelling only include the floors you live on.*
  • Is this your permanent residence?*
  • How many smoke alarms are installed in the home?*
  • Is there a smoke alarm installed on every level of the home?*
  • Is there at least one smoke alarm installed near every sleeping area?*

  • Alarm Need

    Please describe the reason you need a special alarm
  • I am applying for an alarm because I am*
  • Primary language to communicate
  • If you selected deaf or hard of hearing, do you have a seizure disorder that might be triggered by a strobe light?*
  • Will you need an interpreter when an installer comes to your home?*
  • What is your preferred way of accessing home safety information*

  • Privacy

    Information collected is kept confidential and used for follow-up by FABSCOM only.
  • Preferred method for us to contact you*
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  • After your alarming device is approved, you will be contacted to arrange a time for installation. For more information, please visit our website: www.fabscom.org.

    Please click on the "SUBMIT" button below.

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