• 🔐Knox Box Registration and Installation Request Form🔐

  • Benton County Fire District #4 maintains information about Knox Boxes located at residences and businesses within the District.

    Please use this form to register an existing Knox Box or to request information/assistance with installing a new Knox Box.

  • Today's Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • What would you like to do?
  • Contact Information

  • Format: (000) 000-0000.
  • Property Type
  • Property/Knox Box Location

  • Existing Knox Box Information

  • Is the Knox Box currently installed
  • What type of keys or access items are currently stored in the Knox Box?
  • Browse Files
    Drag and drop files here
    Choose a file
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  • Has Benton County Fire District #4 previously accessed or verified this Knox Box?
  • New Knox Box Request

  • Have you already purchased a Knox Box?
  • Has it already been installed?
  • Knox Boxes must be compatible with the Benton County Fire District #4 Knox system. District staff will contact you regarding the appropriate Knox Box and installation location before installation.

  • Is there a gate or other controlled access to the property?
  • Additional Information

  • I understand that submitting this form does not constitute approval of a Knox Box location and that Benton County Fire District #4 may contact me regarding installation, access, or verification.

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  • Should be Empty: