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Fire & Rescue

Always Ready, Always There

Phone: 503-823-3700

Fax: 503-823-3710

55 SW Ash Street, Portland, OR 97204

More Contact Info

Application for Deaf/Hard of Hearing Smoke Alarm
e.g. 1120 SW 5TH or 5TH AND MAIN
Are there existing smoke alarms in the home?
Do you live alone?
Has there been an accident in the home involving smoke or fire?
Do you rent or own your home?
What is the best way to get in touch with you?

Please download and submit a certification of eligibility form. It is required in order to be considered for the program.

Download, fill out and submit this form to be eligible for the program by clicking the highlighted text. If you have any issues with downloading or need help filling out the application, call us at 503-823-3752.
* Required Field