Request for Smoke or Carbon Monoxide Alarm

Request for Smoke or Carbon Monoxide Alarm
The Bolivar Fire Rescue Department installs smoke and/or carbon monoxide alarms in residences within our fire district. There is no fee for this service; however, installations must be scheduled in accordance with our schedule and staffing. This program is provided in collaboration with the Tennessee Department of Commerce, State Fire Marshal's Office.
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Residence Ownership?
Residence Type?
Does anyone in the home smoke?
Does the home currently have any working smoke alarms?
Does anyone living in the home experience mobility issues?
Does the home have a basement?
Number of Bedrooms
Number of Stories
Should be Empty: