District of Columbia Fire and EMS Department
Smoke Alarm Verification and Utilization Program
(SAVU)
F&EMSD Form 129
Rev. 5/07
An asterisk (*) indicates a required field.
Name*
Address *
City*
State
Zip
Code
Ward*
Select One
1
2
3
4
5
6
7
8
Phone*
I am the*
Owner
Occupant
Tenant
Other
If you are not the owner:
Name of Owner
Address of Owner
Phone of Owner
Date
Type of Alarm
Combination smoke/carbon monoxide
Child Alarm
Hearing Impaired
Please fill in the top portion of the form and click on the submit button. Someone from
our agency will contact you to schedule your smoke detector installation.
Submit
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