Smoke Alarm Request Form

SMOKE ALARMS SAVE LIVES! The vast majority of fatal home fires occur in residences with no working smoke alarms. Rutherford County Fire Rescue offers free smoke alarm installations in single and multifamily dwellings. If you do not have smoke alarms and would like to request an evaluation and installation please complete the form below.

Cell Phone Number *

Home Address *

City, State, Zip *

Email Address *

Full Name *

Best Time for Installation *

Number of Bedrooms *

Number of Floors *

Do you or a member of your household suffer from a hearing impairment? No
Yes

* - denotes required field