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AVFD Homeowner
Fire Protection Survey

To help the fire department increase personal and firefighter safety, as well as lessen property loss in the event of a fire, please fill out the form below. Once you have completed the form, click the "submit" button and your information will be sent to the fire chief. Thank you.


Name:


Address:

Email Address :

Contact Telephones:
  Home:
  Mobile:
  Other:

Construction Type:
   
   
   

Location of Electric Panel:

Do you have a :
   
   
   

Heat Source :
   
   
  Location Description of tank(s):
  Other Please describ Other if applicable :

Do you store fuel canisters or propane bottles?
   
 

Location of fuel:

 
 
 
  Garage
  Shed

 

Do you store any fuel tanks on your lot?
   
 

Location of fuel tanks:


Number of Bedrooms per Level:
  Main Level
  Upstairs:
  Basement:

Location of Outdoor Frost-free Hydrant:

Other information you feel is pertinent to keep you, the firefighters and your property safer in case of fire at your residence: