Request Smoke Detectors Form IMPORTANT To be eligible for smoke detectors you must live in Beverly City or in Edgewater Park Township in a one- to two-family house that is owner-occupied. There is a limit of 3 units per residence. If you live in a rental and your landlord does not have working smoke detectors in the unit, that is a violation of the Beverly City and Edgewater Park Township Municipal Code requirements. Those requirements state that property owners need to “maintain all fire protection and smoke detection equipment for the premises.” First Name *Last Name *Street Address *Apartment, suite, etcBeverly City or Edgewater Park Twp. ? *Select TownBeverly CityEdgewater Park Twp.Town?Daytime Telephone *Evening Telephone *Email AddressOwn ? Rent ? *Owner/Landlord/Agent Name *Owner/Landlord/Agent Telephone *Are There Special Needs ?Disability Safety TipsDisability Safety TipsAre There Persons With Impaired Hearing ? Our assistance is limited. You may also contact the American Red Cross for further assistance.American Red CrossAmerican Red CrossHearing Disability Safety TipsHearing Disability Safety TipsHow Many Smoke Detectors Are Not Working? *What Floors Need A Smoke Detector? *Select Best Installation Day(s)Select Best Installation Day(s)MondaysTuesdaysWednesdaysThursdaysFridaysSaturdaysSundaysWhen Is Best Time For Installation?HoursMinutesAMPMProvide Additional Information or Enter A Message To Us0 / 180WAIVER OF LIABILITY Send Message
