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Deaf And Hard Of Hearing Smoke Alarm Request Application

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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


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