San Leandro, CA · Alameda County
Owner’s Affidavit of Installed Smoke & Carbon Monoxide Alarms
Property owners or contractors complete this affidavit to certify smoke and carbon monoxide alarms have been or will be installed at a residence.
What this form is
This affidavit records the property address, permit number, alarm counts, and required locations for smoke and carbon monoxide alarms. The owner or contractor certifies that the alarms have been or will be installed and are operative in the residence according to the requirements and manufacturer’s installation instructions stated on the form.
Who needs it
An owner or contractor completing the affidavit for a residence where smoke and carbon monoxide alarms have been or will be installed needs this form.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the signer certifies under penalty of perjury and signs and dates the affidavit.
How to submit this form
- 1
Download The Affidavit
Download the Smoke & Carbon Monoxide Alarm Affidavit.
- 2
Complete The Property And Alarm Details
Enter the property address, permit number, and the number of smoke and carbon monoxide alarms installed or to be installed.
- 3
Sign And Date The Affidavit
Print the signer’s name, mark owner or contractor, and sign and date the certification.
- 4
Submit The Affidavit
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Smoke & Carbon Monoxide Alarm Affidavit certify?
- The owner or contractor certifies that required smoke and carbon monoxide alarms have been or will be installed and are operative at the listed residence.
- What information does the affidavit ask for?
- It asks for the property address, permit number, alarm counts, the signer’s printed name and whether they are the owner or contractor, plus a signature and date.
- Do I need a notary for the Smoke & Carbon Monoxide Alarm Affidavit?
- No. The document is signed without a notary; the signer certifies under penalty of perjury and signs and dates the affidavit.
- How do I submit the Smoke & Carbon Monoxide Alarm Affidavit?
- Submit it to the city department named on the form; check the city website for current contact details.