Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Request a Low-Cost Smoke / Carbon Monoxide Alarm

  1. Contact Information

  2. Best Time of Day to Contact You*

  3. House & Resident Details


  4. Request Details



  5. Submission Details

  6. Thank you in advance for your request. Please note that is program is for homeowners residing in the property listed and not for preparing a home for sale. This service is for district residents only. The smoke alarms provided are battery operated (not hard wired) and must be maintained by the homeowner. Please note that this is a request form only. Someone will contact you within three working days to confirm this request and advise of an approximate delivery date.

    Payment is due upon delivery, and installation of the alarms at your home. The installation crews may only accept cash, and exact change is required. The crews do not carry money and cannot make change.

    If you have any questions or would like more information, please call (303) 989-4307, ext.537.

  7. Leave This Blank:

  8. This field is not part of the form submission.