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Welcome to LA-PSIMS
Operation Save-a-Life Smoke Alarm
Contact Name
Contact Number
Alternate Contact Number
Contact Email
Verify Contact Email
Installation Day Preferences
Type of Detector Installed
Your local Fire department will contact you in regards to scheduling an install. Days and hours of installations will vary from department to department. Check at least 1 of the 7 boxes below to note which days of the week someone eighteen (18) years of age or older will be present at the location in order for the installation to take place.
select
Check All
SMOKE DETECTOR
CARBON MONOXIDE DETECTOR
COMBINATION DETECTOR
SUNDAY
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
Address of Property with Smoke Alarm:
Enter the Street Address and then ZIP Code to look up City and State:
Street Address
ZIP Code
Parish/County
City
State
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UM
UT
VA
VI
VT
WA
WI
WV
WY
ZZ
Verify location coordinates by clicking the map icon »
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Occupant Information:
Number of Children (0-17 years)
Number of Adults (18-64 years)
Number of Seniors (65+ years)
Occupants Disabled/Impaired?
Yes
No
Alternate Contact Name
Contact Number
Alternate Contact Number
Does Applicant Own or Rent the Property?
OWN
RENT
Property Owner/Manager Information:
Name of Property Owner/Manager
Contact Number
Alternate Contact Number
Enter the Street Address and then ZIP Code to look up City and State:
Street Address
ZIP Code
Parish/County
City
State
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UM
UT
VA
VI
VT
WA
WI
WV
WY
ZZ
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