Form Center

2. Smoke Detector Application
4. *Harrisburg Fire Department will replace battery-powered smoke detectors. Homes built after 1999 have smoke detectors with an interlinked system and battery backup. Those detectors must be replaced after ten years with an interlinked detector, which HFD does not offer.
6. Last Name
7. First Name
9. Address
   Address must be in Harrisburg.
11. Phone Number
12. Email Address
14. How many bedrooms are in the home?
15. How many floors are in the home?
    -- Select One --123
16. What year was your home built?
    *Must be 1999 or before.
18. How many smoke detectors are currently in the home?
19. Any other comments or concerns that Harrisburg Fire Department should know:
23. For Administrative Use Only:
25. Installed by:
27. How many new smoke detectors were installed?
29. Date/Time Installed
Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field