Scio Fire District Smoke Detector Installation Program
Smoke detectors and installation provided free of charge
Customer Details:
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
example@example.com
What is your preferred language?
*
Please Select
English
Spanish
Other - type in comments
Do you own your home?
*
Please Select
Yes
No
Are you elderly, low income, or disabled?
*
Please Select
Elderly
Low income
Disabled
How many stories is your house?
*
Please Select
1
2
3
4
Other - explain in comments
How many bedrooms does your house have?
*
Please Select
1
2
3
4
5
Other - explain in comments
Someone from the fire district will contact you soon. All smoke detectors will be installed by a member of the fire district. If you have any questions or comments, please type them in the box below.
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