We have moved to the Albemarle Building on 325 N. Salisbury Street, Raleigh, NC. Our mailing address will still be 1202 Mail Service Center, Raleigh, NC 27699-1202. Please call our main number for assistance – 919-647-0000.

Deaf And Hard Of Hearing Smoke Alarm Request Application

* indicates required field

Available only to residents of North Carolina.

Fire Department Request Form

This Request Form is only to be completed by the Fire departments or County Fire Marshals that identifies a need for a deaf and hard of hearing alarm in their district. If fire department identifies someone that is deaf or cannot hear a smoke alarm with or without hearing devices they can submit the following request form:

Review the SafeAwake Smoke Alarm Installation Guidelines before completing application.


Contact information of Fire Department/Fire Marshal/EMS requesting and installing alarm


Contact information of person needing alarm


Please contact if you need help with this form.