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Smoke Alarm Request and Installation Form

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  2. Smokers living in the home
  3. Senior Citizen (Over 65 Years of age)
  4. Hearing Impaired Residents
  5. Disabled Residents
  6. Do you need free smoke detector(s) to be installed?
  7. Are you currently experiencing financial hardship and are unable to purchase necessary Smoke Alarms?
  8. Do you need assistance installing an alarm you already own?
  9. Do you have a sturdy step stool or ladder for installation?
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