Smoke Detector Request Form
Section 14-106 "Smoke detector devices" of the City of Memphis Code of Ordinances requires that smoke alarms be installed in residential properties and maintained in workable condition.

You qualify for a free smoke alarm if you meet the following conditions.
  1. You live in the City of Memphis and own the property in which you reside and
  2. You do not already have a working smoke alarm and are not financially able to purchase a smoke alarm.

Regardless of these conditions, you may qualify, if: 
  1. At least one child under the age of 18 resides with you or
  2. You are 60 years of age or older.

Your free smoke alarm will be installed by appointment when an adult is present. Memphis Fire Fighters will be in uniform and have driven to your home in a fire department vehicle.

To request a smoke detector, please complete the Smoke Detector request form accurately and completely.

Fields marked with * are required.
Smoke Detector Request Form
 
By submitting this form: You give permission to Memphis Fire Services to place a battery operated smoke alarm in your home. This device (and replacement batteries when available) is furnished from a Smoke Detector Fund with contributions from the public, City of Memphis, and the business community.

You understand that the City of Memphis does not warrant the manufacturer's guarantee. Should the alarm fail to operate in the event of a fire, the City of Memphis shall not be liable for any claims associated with that fire and/or the failure of the device.

You also understand that Memphis Fire Services is not responsible for maintaining the device and replacing the battery each year at the same time (or when the device "chirps" indicating that the battery is worn-out). Please request that a new battery be installed if you are unable to do it yourself. If batteries are available from the Fund, we will install replacements each year when requested.

 
This table formats the Google Translate widget and its preceeding label
Translate page: 
WWW.MEMPHISTN.GOV