Smoke Alarm Install Request Form

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Please complete this form to request a free Smoke Alarm Installation. Please allow 1--3 business days for a response to confirm or arrange an appointment. Please allow a lead time of 7-10 business day. If you have any questions, please contact us at (810)229-6640.

If your alarms are beeping, chirping or going off, dial 911. We will come and investigate.

Requested Install Date *

YYYY

Time of Requested Install *

Time

First Name *

Last Name *

Address of Install *

City *

Zip *

Phone Number *

Number of Children *

Number of Children Under 5-years of Age *

Number of Adults *

Number of Adults Over 65-years of Age *

Number of Existing Alarms & Are They Working? *

Hardwired, Battery, or Both *

Hardwired

Battery Powered

Both Types

Unknown

Ceiling Height of Alarms *

Standard 8-9'

High 9-12'

Very High Over 12'

BAFA offers this program through grants and generous donations. Can you pay it forward to the next family in need? *

Yes

If yes, how much can you donate back? Donations can be dropped off or given to the firefighters doing the install. *

If no, would you like to purchase them and have BAFA install them for you? *

Yes

Where did you learn about our program? *

Social Media

Website

Fire Department Event

Word of Mouth

Coffee Sleeve QR Code

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