notice

We have moved to the Albemarle Building on 325 N. Salisbury Street, Raleigh, NC. Our mailing address will still be 1202 Mail Service Center, Raleigh, NC 27699-1202. Please call our main number for assistance – 919-647-0000.

Deaf And Hard Of Hearing Smoke Alarm Request Application

* indicates required field

Available only to residents of North Carolina.

Fire Department Request Form

This Request Form is only to be completed by the Fire departments or County Fire Marshals that identifies a need for a deaf and hard of hearing alarm in their district. If fire department identifies someone that is deaf or cannot hear a smoke alarm with or without hearing devices they can submit the following request form:

Review the SafeAwake Smoke Alarm Installation Guidelines before completing application.

 
 

Contact information of Fire Department/Fire Marshal/EMS requesting and installing alarm

 
 
 
 
 
 
 
   

Contact information of person needing alarm

 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 

Please contact Atlanta.Steagall@ncdoi.gov if you need help with this form.