Smoke Alarm Request

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.

   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