Please complete this form accurately and legibly. Provide necessary details regarding the authorization for smoke alarm installation, including property information and contact details. Check the appropriate boxes to indicate your authorization for installation, maintenance, and inspection. Sign and date the form to confirm your consent.
Property Address: | |
Owner's Name: | |
Email: | |
Phone Number: | |
Housing Type: |
|
I authorize the installation of smoke alarms in the above property.
I authorize regular maintenance of smoke alarms as required.
I authorize periodic inspection of smoke alarms for compliance.
Kitchen
Living Room
Bedrooms
Hallways
Basement
Other (pls. specify):
Hardwired
Battery-operated
Combination (Smoke and Carbon Monoxide)
I, the undersigned property owner, hereby authorize the installation, maintenance, and inspection of smoke alarms in the above property as indicated. I understand the importance of smoke alarms for safety compliance and fire prevention.
[Property Owner's Name]
Date: [Month Day, Year]
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