The 2018 International Residential Code requires that smoke alarms be installed in all residential properties and maintained in working condition.

You qualify for a free smoke alarm if you meet the following conditions:

• You live in the City of Keller and own the property in which you reside and
• You do not already have a working smoke alarm and
• You are not financially able to purchase a smoke alarm

Regardless of these conditions, you may still qualify for this program if: 

• At least one child under the age of 18 resides with you or
• You are 60 years of age or older

Your free smoke alarm will be installed by Keller firefighters in a department vehicle, by appointment when an adult is present. To request a smoke alarm, please complete this request form accurately and completely.

1

Full Name

 *

Full Name

2

Street Address (including zip code)

 *

Street Address (including zip code)

3

Phone Number

 *

Phone Numberext.

4

Birthdate (mm/dd/yyyy)

Birthdate (mm/dd/yyyy)

5

Do You Own Your Home?

 *

Do You Own Your Home?

Yes

No

6

Number of People Residing in Your Home

 *

Number of People Residing in Your Home

7

Is Anyone in Your Home Under the Age of 18?

Is Anyone in Your Home Under the Age of 18?

Yes

No

8

Please Indicate Your Household's Annual Income:

Please Indicate Your Household's Annual Income:

Below $20,000

$20,001-$45,000

$45,001+

If you do not own your home, please provide the following information about your home's property owner:

9

Property Owner Full Name

Property Owner Full Name

10

Property Owner Address (including zip code)

Property Owner Address (including zip code)

11

Property Owner Phone Number

Property Owner Phone Numberext.

By submitting this form, you give permission to Keller Fire-Rescue to install a battery-operated smoke alarm in your home. This device (and replacement batteries when available) is furnished from contributions from the public, the City of Keller and the area business community.

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

You also understand that Keller Fire-Rescue is not responsible for maintaining the device or for replacing the battery each year at the same time (or when the device "chirps" indicating that the battery is worn out). If batteries are available, replacements for your unit may be installed upon request. 

For more information, please contact Keller Fire Marshal Debra Crafton at dcrafton@cityofkeller.com or 817-743-4472.

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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