Hayward, CA · Alameda County

No notary required

Smoke And CO Alarm Certification

Property owners or authorized agents use this certification to confirm required smoke and carbon monoxide alarms are installed and working properly.

What this form is

Hayward uses this certification for permitted work when the Building Inspector is not likely to enter the dwelling during final inspection, such as roof or siding replacement. The owner or authorized agent confirms that required smoke and carbon monoxide alarms are installed in specified locations and working properly. The form asks for the permit number, project address, initials, name, signature, and date.

Who needs it

A property owner or authorized agent may submit this certification when permitted work makes it unlikely that the inspector will enter the dwelling during final inspection.

How to submit it

Provide a fully completed and signed copy to the City of Hayward Building Inspector at the time of final inspection. The form lists Development Services Department at 777 B Street, Hayward, CA 94541.

About notarization

This certification is signed and dated without a notary; the owner or agent certifies under penalty of perjury that the statements are true and correct.

How to submit this form

  1. 1

    Download The Certification

    Download the Smoke And CO Alarm Certification form.

  2. 2

    Complete The Form

    Enter the permit number and project address, initial the alarm statements, and provide the owner’s or authorized agent’s name, signature, and date.

  3. 3

    Check Alarm Installation

    Confirm that required smoke and carbon monoxide alarms are installed in the stated locations and are working properly.

  4. 4

    Submit To The City

    Provide the completed, signed form to the Building Inspector at the time of final inspection.

Frequently asked questions

Do I need a notary for the Smoke And CO Alarm Certification?
No. The owner or authorized agent signs and dates the form without a notary and certifies under penalty of perjury that the statements are true and correct.
When should I submit the alarm certification?
The form may be used when the Building Inspector is not likely to enter the dwelling during final inspection. Provide the completed, signed form to the inspector at final inspection.
How do I submit the Smoke And CO Alarm Certification?
Give a fully completed and signed copy to the City of Hayward Building Inspector at the time of final inspection. The form lists Development Services Department at 777 B Street, Hayward.
What information does the certification request?
It asks for the permit number and project address, initials confirming alarm installation and operation, and the owner’s or authorized agent’s name, signature, and date.

Need something notarized?

This Smoke And CO Alarm Certification doesn’t need a notary — but if you have another Hayward form that does, a commissioned online notary can help.