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Department of Fire
City of Atlanta
 
 

ATLANTA SMOKE ALARM PROGRAM "ASAP"
REQUEST FORM

NOTE:*Required fields.
Date:
  Property Address:
Street Number:*
Street Name:*
City:*
State:
Zip:*
Owner:
First Name:*
M:
Last Name:*
Phone :*
(ex. 333-333-3333)
Fax :
(ex. 333-333-3333)
E-mail: *
Floors (#)

Children (Under 10) Senior Adults (Over 60)

Owner:
   Renter:    Single Family Home:    Duplex:
   

I understand that the Atlanta Smoke Detector Program is designed as an Educational and Preventive Program. I relieve the Atlanta Fire Rescue Department and all personnel of any responsibility for personnel/household injury, death, or loss of property as a result of my participation in the Atlanta Smoke Detector Program. By filling out this form, I agree to the provisions stated above.

FOR MORE INFORMATION CONTACT THE CITY OF ATLANTA FIRE DEPARTMENT AT 404-853 7000

 
 
City of Atlanta
Department of Fire
675 Ponce De Leon Avenue
Suite 2001
Atlanta, Georgia 30308

Tel : 404.853.7000
Fax: 404.853.7245

Fire Chief
Dennis L. Rubin
drubin@atlantaga.gov


Public Information Officer
Capt. Byron Kennedy
fire_pio@atlantaga.gov