SMOKE AND CO DETECTOR CERTIFICATION

Complete the form to apply for combine Smoke and Carbon Monoxide detector certification. You must read and comply with the Smoke and Carbon Monoxide Detector Inspection Requirements.

Address

A valid address must be entered to complete the application. Click the Check button to validate the address.

Street Address *

Applicant

Your E-Mail address will be used to recall your last applicant record.

E-mail: *

First:

Last: *

Business Name

Street Address

City - Town

State / Zip

Phone *

Detector Information

Number of Dwelling Units

Number of Detectors

Type of Equipment

Description of Locations

Fee $50.00

I have read and understand the Smoke and Carbon Monoxide Detector Inspection Requirements; You must call 508-532-5930 to schedule your inspection. Inspection failure shall result in a reinspection fee.