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Complete a Home Fire Safety Assessment​

You can request a home fire safety assessment for yourself or a dependant relative by contacting the Service on 0800 169 1234 or by sending an e-mail request to your local Fire Service office via the form on this page.​​​​​​​​​​​​​​​​​​​​

​​All fields marked with an * are required.​​​​​​​​​​

First Name *
Surname *
Address Line 1 *
Address Line 2
Town / City *
County *
Postcode *
Telehone Number *
When is the best time to contact you?



Does anyone over the age of 65 live at the premises? *
Are there any occupants that have mobility difficulties or are hard of hearing? *
Are there any occupants that are dependant on smoking, drugs or alcohol? *
Are there any occupants that are lone adults or single parents? *
Are there any occupants that have any mental health or learning difficulty issues? *
Does the property already contain working smoke alarms? *

Are there any other agencies attending your property? e.g. Age Concern, Carers, Health Visitors *
Any additional information you deem appropriate: