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Injury Prevention


Smoke Alarm Installation Survey Form

Thank you for your time and commitment to making North Carolina homes safer from fire by installing smoke alarms. To help track alarm installation and to gather data on smoke alarm use in NC, a Survey Form must be submitted for each home visit. You can print a hard copy of the survey form here.

If unable to obtain GPS coordinates at the site of the alarm installation, enter the address of the residence on this website and it will provide the coordinates: