EmailMe Form - Resident Acknowledgement Form:

Resident Acknowledgement Form:

Fire & Carbon Monoxide Alarms

**This form must be completed by May 15, 2025**

This acknowledgment form serves to inform and remind residents of their responsibility regarding the fire alarms and carbon monoxide alarms in the rental unit or home. As a resident, you are responsible for ensuring the safety and proper maintenance of these devices during your tenancy. Your property owner will conduct a once per year test, cleaning and battery replacement of your alarms in accordance with Fire Safety.

Your Name *
First Last
Email *
Phone *
### - ### - ####
Property Address

*Please include your unit number if you're in a multi-unit building or a condo neighbourhood.* *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Today's Date *
MM / DD / YYYY
Please review and acknowledge the statements below
1. Fire and Carbon Monoxide Alarm Presence:

I acknowledge that the unit/home I am renting is equipped with both fire alarms and carbon monoxide alarms. These alarms are essential for the safety of all residents in the home. *
Yes
2. Weekly Testing Requirement:

I understand that I am responsible for testing both the fire and carbon monoxide alarms once per week to ensure they are working properly. Testing the alarms is essential to guarantee that they are functioning and will sound in the event of a fire or carbon monoxide leak. *
Yes
3. Monthly Maintenance Recommendation:

I am encouraged to vacuum the alarms once per month to remove dust and debris, ensuring that the devices continue to operate effectively and are not obstructed by build-up. *
Yes
4. Malfunctioning or Low Battery Alarms:

If, during testing, I discover that the fire alarms or carbon monoxide alarms are not working, or if they are beeping due to low battery, I will notify the property manager immediately for prompt replacement or servicing. *
Yes
5. Acknowledgement of Safety Responsibility:

I understand that maintaining these safety devices is my responsibility and is crucial to my well-being, as well as the safety of others in the home (family, friends, guests, etc.) and the safety of the property. I accept my responsibility to ensure that the fire and carbon monoxide alarms remain operational and will promptly address any issues that arise. *
Yes
Acknowledgment & Submission
By signing this form, I acknowledge that I have received and read the above information, and I agree to follow these guidelines throughout the duration of my tenancy.
Tenant Signature: *
Clear
Date of Submission: *
MM / DD / YYYY

Please review and acknowledge the statements below

Acknowledgment & Submission