Williamsport Vol. Fire Co. Free Smoke Detector Program - Request Form Free Smoke Detector Program - Click here for info Please fill out the following form and provide as much information as possible. Upon completion of the form, click the Send Information button at the bottom of the page. The form will then be automatically e-mailed to the Williamsport Vol. Fire Co. If you would prefer to make your request by telephone, call 301-223-9112. The Free Smoke Detector Program provides free smoke detector(s) for Town of Williamsport and the surrounding response area. This includes the smoke detector and the installation all free of charge. This is part of the Departments Mission to "Prevent Injuries and Death from Fire". Once requested you will be contacted by telephone to schedule an install. Fields marked with an * are required To: Williamsport Vol. Fire Co. * From (Contact Person): * Date Requested: Re: Submission for Free Smoke Detector * Your Address: Street City, State, ZIP * Telephone Number: * Rent or Own? Rent Own * Are you over age 50? Yes No * Do you currently have any smoke detectors? Yes No * Your Email Address: * Best time of day to call and telephone numbers for each:

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