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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.

Smoke Alarm Canvassing Grant Application

* indicates required field

APPLICANT INFORMATION

 
 
 
   
 
 
 

Identify who will be responsible for overseeing the smoke alarm canvassing project. Each application must include a primary and secondary contact.

Primary Contact:

Person responsible for overseeing the program

 
 
 
 
 

Secondary Contact:

 
 
 
 
 

NEED ASSESSMENT

 
 
 
 
 
 
 

Type name of organization official approving grant request i.e. Chief, Fire Marshal, Director, etc. By printing the organization officials name you are stating that the organization official has given approval to apply for this grant and agree to all grant requirements.