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2. This service is provided at no cost to the members of our community

   Our department partners with the local Red Cross to make sure homes in our community have working detectors. Please fill out this form and a staff member will contact you and get this scheduled.  If you have any questions you can call 281-351-7101.

4. I need help with the following (check all that apply)*

   1. I do not have any working detectors in my home (We can provide up to 4 detectors at no charge)
   2. I may need a CO detector (We can install 1 detector at no charge should one be needed)
   3. My batteries need to be changed (I have replacement batteries)
   4. My batteries need to be changed (I'm unsure if I have the batteries I need)
   5. I have detectors but I'm unsure if I have what I need for my home
6. First Name*
7. Last Name*
9. Phone Number*
10. Email Address*
12. Street Address:*
14. Number of Bedrooms

    1. 1-2 Bedrooms
    2. 3-4 Bedrooms
    3. 4+ Bedrooms
15. Number of Floors in the Home:

    1. 1
    2. 2
17. Preferred Day of Week for Installation/Check*

    1. Monday
    2. Tuesday
    3. Wednesday
    4. Thursday
    5. Friday
    6. Saturday
    7. Sunday
18. Preferred Time for Installation/Check*

    1. Between 9 am-11 am
    2. Between 1pm and 3 pm
    3. Between 3 pm-6 pm
Leave This Blank:


20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit Submit and Print

* indicates a required field