HCESD 16 | Emergency Dial 911

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Home Smoke Alarm Check-Up, Replacement and Installation Enrollment Form

If you are served by Klein Fire Department and would like to schedule a time to have us check your home smoke alarms to ensure they are working properly, replace your batteries, or install new alarms that you have already purchased or are from us, please complete the form below and we will coordinate with you a visit to your home.

SCHEDULE AN APPOINTMENT

We can schedule smoke alarm appointments between 9:00 a.m. and 4:00 p.m., Monday through Friday. Once you request your preferred and alternate dates and times, we will follow up with a confirmation or a request for another date due to a conflict on our end.

We ask that you provide at least 2 days advance notice. Unfortunately, we cannot assist with ceilings whose height is over 12 feet.

Smoke alarm appointments are intended for residential structures that are not operated and maintained by residential management companies such as apartment complexes or assisted living facilities.

Home Smoke Alarm Check-Up, Replacement and Installation Enrollment Form

First Name

Last Name

Phone

Mobile Phone

Address

City, State

Zip Code

Subdivision

# of Bedrooms

Age of Current Alarms

Type of Alarms already in home

# of Alarms requested

Preferred Day/Date

Preferred Timeframe

Alternate Day/Date

Preferred Timeframe

Special Information We Should be Aware of

Indemnity

Custodian opt-in

Custodian has read, understands, and agrees to the above. Custodian thoroughly and completely understands that this Agreement includes a complete and final release and indemnity agreement, that it is freely and voluntarily entering into this Agreement, and that no representations, promises, or statements made by any Released Party has influenced the Custodian in causing it to execute this Agreement. In addition, the Custodian Representative executing this Agreement represents and warrants to the Released Parties that he or she has the proper and sufficient authority to bind the Custodian to the terms and conditions of this Agreement.

Our Purpose

Mission:

To protect and serve the Klein community by minimizing the loss of life and property from fire, medical, or other emergencies

Vision:

We will make a difference in the Klein community by providing the best possible emergency services.

Values:

To provide the highest degree of customer service through our words, acts, and deeds.

Honor · Integrity · Courage · Duty · Sacrifice

QUICK LINKS

Mailing and Physical Address:

18606 Stuebner Airline Rd

Spring, TX 77379

Phone: (281) 607-4660

email: info@hcesd16.org

Home Smoke Alarm Check-Up, Replacement and Installation Enrollment Form

Our Purpose

QUICK LINKS

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