Application for Smoke Detector, Carbon Monoxide Detector & Fire Extinguisher Certification
Monroe Twp. Bureau of Fire Prev. District #1 - (732)251-0900 ext.3
Property Owner's Name
First Name
Last Name
Owner's Contact Number
(cell or home phone)
If it is a Foreclosure
Name of Bank
Address of Property for Sale or Rent
*
Street Address
Apartment # (if applicable)
Type of Home?
*
Ranch
Ranch w/basement
Bi level
Bi-Level w/basement
Colonial
Colonial w/basement
Cape Cod
Cape Cod w/basement
Split Level
Split Level w/basement
Mother/Daughter
Mother/Daughter w/basement
Townhouse
Townhouse w/basement
Condo (1st floor)
Condo (2nd floor)
Condo (3rd floor)
Apartment (1st floor)
Apartment (2nd floor)
Apartment (3rd floor)
Other
Is this address for SALE or RENT?
*
Sale
Rental
Type of Detection System?
*
Battery Operated Detectors
Hardwired Detectors
Unsure
Year home was Built?
*
Built before 1977
Built 1977, but before 1984
Built 1984, but before 1990
Built 1990 to present
Unknown
How many kitchens?
*
1
2
E-mail Address
*
Confirmation Email
(copy of this completed application will be sent to this email )
Person who will be called to schedule appointment
*
Owner
Realtor
POA
Bank Rep.
Estate Rep.
Other
Name of Person who will be called to schedule appointment
*
Number for Person scheduling appointment
*
Requested Date & Approximate Time (TUESDAYS ONLY, BETWEEN 9AM & 1PM)
*
/
Month
/
Day
Year
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
15
30
45
Minutes
AM
PM
AM/PM Option
Approximate Closing Date
*
/
Month
/
Day
Year
Date
Payment Method (DO NOT PAY UNTIL THE FIRE INSPECTOR ADVISES YOU OF CORRECT FEE)
Pay in person at the Bureau of Fire Prevention Office: Check, Cash, Credit Card/Paypal
Pay Online: Credit Card, Debit Card, Paypal
Submit
Should be Empty: