Contact Information: Your name: * Your e-mail address: * Your phone number: Your Address (Fairhaven, MA 02719): Preferred Method of Contact: Phone Email Service Requesting (Check all that apply): I am requesting and inspection of my property I am requesting to acquire free detectors I am requesting assistance installing detectors I am certifying that I am legally (Check all that apply), and that I am unable to obtain alarms due to a fixed income or a financical hardship: The owner of the property Low-Income Disabled Senior Citizen I herby release and agree to indemnify the Town of Fairhaven and the Fairhaven Fire Department from any liablity in connection with the service provide. I undertand that it is my responsibility to maintain the detectors in working condition by following the manufacturer’s recommendations and that the Town of Fairhaven is not responsible for the upkeep or maintenance of the detectors installed. * Mandatory Check Box Message / Send yourself a copy: * Attachments: Attachment #1 Files must be less than 2 MB.Allowed file types: gif jpg jpeg png txt pdf doc docx. Attachment #2 Files must be less than 2 MB.Allowed file types: gif jpg jpeg png txt pdf doc docx. Attachment #3 Files must be less than 2 MB.Allowed file types: gif jpg jpeg png txt pdf doc docx. Leave this field blank