Smoke Alarm Installation Request First name: Last Name: Email Address: Phone Number: Physical Address: How many floors/levels does your home have? How many bedrooms does your home have? Do you have smoke alarms in your residence? Yes No If so, are any of them currently malfunctioning? Yes No Not Sure Would you like for us to install the alarm for you? Yes No There was a problem saving your submission. Please try again later. Please wait while your submission is being saved... Submitting...Submit Thank you, your submission has been received.