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2. SMOKE DETECTOR REQUEST
3. 

5. Please fill out the request below and we'll get in contact with you. Please note dates and times are considered a request. SMFD's priority schedules consist of continual training, events, and work within an active 911 system. Smoke detector requests are a courtesy service we provide and will be fulfilled as a courtesy. 

   This program is designed for those that need assistance (financially, handicapped, or elderly). 

   If you are able to provide your own batteries, we would be happy to assist in installing your new batteries. For homeowners that may have trouble financially, we can provide (donated) smoke detectors and batteries. Providing your own units and batteries will help us further this assistance program throughout the entire community for those that need it.

    

9. Name*
10. Email Address
12. Address*
14. City
15. State
16. Zip Code
18. Contact Phone Number*
    SMFD will reach out to you via this phone number. Please be sure it is a working number.
19. I understand that I must live in the San Marcos City Limits for this requested service*
    -- Select One --I understandI'm not sure I live in the San Marcos City Limits but would like some help finding out.
23. Assistance Needed:*

    1. Battery Operated Smoke Detector Installed
    2. Smoke Detector Check - Please provide notes below
    3. Smoke Detector Battery Change
    4. Other - Please provide notes below
25. Batteries Requested*

    1. I am financially able and willing to provide my own batteries and help further this community service. (Typically require 9 Volt batteries)
    2. I would like to request fire department battery provisions due to financial need.
26. Smoke Detectors typically use 9 Volt Batteries
    
28. Please provide any notes we might need to know about why you're requesting a check.
32. Tell us about your home:
34. How many stories?*
    -- Select One --1 Story Home2 Story Home3 Story Home
35. How many bedrooms? *
    -- Select One --1 Bedroom2 Bedroom3 Bedroom4 Bedroom5+ Bedroom
37. Ownership of Home*
    -- Select One --Home I ownHome I rentManaged: Apartment / CondoOther

    This program is for homeowners only.

    Renters: If you're a renter, please contact your landlord. Smoke detectors are to be provided by the property owner. Texas law does make landlords responsible for installing and maintaining smoke detectors in their units. There should be at least one smoke detector outside of each bedroom. We do not provide units to renters.

38. Type of Home*
    -- Select One --Foundation HomePier and BeamMobile HomeManaged: Apartment / CondoOther
40. Approximate Age of Home*
    -- Select One --0-10 years old (newly built home) -->10+ years old
41. Please note:

    Newly built homes (0-10 years old) often have hard-wired smoke detectors systems installed. If you have one of these systems, they may require more than just the recommended 6 month backup battery replacement. The smoke detector itself, and not its battery, may require replacement. Please read your manual to call an electrician or contact your alarm company if needed. 

45. Schedule Disclaimer - Please Initial*

    Please fill out the request below and we'll get in contact with you. Please note dates and times are considered a request. SMFD's priority schedules consist of continual training, events, and work within an active 911 system. Smoke detector requests are a courtesy service we provide and will be fulfilled as a courtesy. 

47. Date Request*
    Date Request

    **At least 3 days advanced notice required** 

    Please let us know a good, workable date/time range that you will be home and we can come by. *Please note this is a request and due to the nature of the firefighter's day and schedule, it might vary or be rescheduled.

48. Best Time of the Day*

    Give us an idea of what time you'll be home

    1. Mornings: 9AM-11AM
    2. Afternoons 11AM-5PM
    3. Evenings 5PM-8PM
50. I understand that 3 days advanced notice (minimum) is required for scheduling purposes.*

    1. Yes, I understand
51. Additional notes that the Fire Department may need to know:
Leave This Blank:


55. 1. Receive an email copy of this form.
56. Email address

    This field is not part of the form submission.

57. Submit Submit and Print

* indicates a required field