Request a Low-Cost Smoke or CO Alarm

Please respect that is program is for homeowners residing in the property listed and not for preparing a home for sale OR short-term rental. This service is for district residents only and focuses on seniors, low-income residents, and residents with disabilities. The smoke alarms provided are battery operated (not hard wired) and must be maintained by the homeowner.

Note - This is a request form only. Someone will contact you within five working days to confirm your request once submitted and work with you to coordinate a delivery date. Payment is due upon delivery and installation of the alarms in your home. The installation crews may only accept cash, and exact change is required. The crews do not carry money and cannot make change.

If you have any questions or would like more information, please call (303) 989-4307.

Please select all that apply: (required)

Senior (60+)

Low-Income

Disabled

Your Name (required)

Best time to contact you (required)

Contact's Phone Number (required)

Contact's email (required)

Address for smoke and/co alarm installation (all requests must be within WMFR's service area)

Address Line 1 (required)

Address Line 2

City (required)

State (required)

Zip (required)

Number of Senior Citizens in the home (required)

Number of floors in the home (required)

Number of bedrooms in the home (required)

Do you currently have working smoke alarms (required)

Do you currently have working Carbon Monoxide (CO) alarms (required)

Number of Smoke alarms you are requesting ($5.00 per alarm. Max 3 per household) (required)

Number of Carbon Monoxide (CO) alarms you are requesting ($5 for the 1st alarm & $10 for the 2nd. Max 2 per household) (required)

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