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2. If you would like the Newport News Fire Department to install a smoke alarm in your home, please fill out the following information. You should receive a response within the week. Please call 757-975-5400 if you need to speak with a Public Educator about your request. This program is only for Newport News homeowners. If you rent, your landlord is responsible to install working smoke alarms.
4. Full Name*
5. Phone Number*
7. Full Address*
9. Number of children up to 18 living in home*
   -- Select One --01234567 or more
10. Number of adults 18-62 living in home*
    -- Select One --012345 or more
11. Number of adults 62+ living in home*
    -- Select One --01234 or more
12. Number of floors in your home*
    -- Select One --1234
Leave This Blank:


14. 1. Receive an email copy of this form.
15. Email address

    This field is not part of the form submission.

16. Submit

* indicates a required field