Willows, CA · Glenn County

No notary required

Residential Fire Safety Self-Inspection Form

Willows residents use this fillable checklist to report fire-safety conditions at a residential occupancy to the fire department.

What this form is

This form records an inspection of a residential occupancy and asks about fire extinguishers, electrical safety, exits, building address visibility, storage, smoke detectors, carbon monoxide detectors, and fire-protection devices. The form says to submit it to the fire department and includes a blank for the inspected occupancy address and apartment number. It does not state a submission deadline.

Who needs it

Residents completing a fire-safety self-inspection for a residential occupancy in Willows can use this form to record their answers.

How to submit it

Mail or deliver the completed form in person to the fire department at 445 S. Bute St, Willows, CA 95988. The form lists (530) 934-3322 for questions.

About notarization

No notary is required; the form identifies no sworn attachment or notarized step, and its text provides a blank for completion.

How to submit this form

  1. 1

    Download The Form

    Download the fillable Residential Fire Safety Self-Inspection Form.

  2. 2

    Complete The Checklist

    Enter the inspected occupancy address and apartment number, then answer the fire-safety questions.

  3. 3

    Check For Attachments

    The form does not identify any required attachments.

  4. 4

    Submit To The Fire Department

    Mail or deliver the completed form in person to 445 S. Bute St, Willows, CA 95988.

Frequently asked questions

What does the Residential Fire Safety Self-Inspection Form check?
It asks about fire extinguishers, electrical panels and equipment, emergency lights, exits, building address visibility, storage, smoke and carbon monoxide detectors, and fire-protection devices.
How do I submit the Residential Fire Safety Self-Inspection Form?
Mail or deliver it in person to the fire department at 445 S. Bute St, Willows, CA 95988. The form lists (530) 934-3322 for questions.
Do I need a notary for the Residential Fire Safety Self-Inspection Form?
No. The form has no notary requirement and identifies no sworn attachment or notarized step.

Need something notarized?

This Residential Fire Safety Self-Inspection Form doesn’t need a notary — but if you have another Willows form that does, a commissioned online notary can help.