Azusa, CA · Los Angeles County

No notary required

Smoke/Carbon Monoxide Alarm Affidavit

Property owners use this affidavit to certify that they installed and tested smoke and carbon monoxide alarms where no interior access for inspection is required.

What this form is

This affidavit lets a property owner certify that smoke and carbon monoxide alarms were installed according to the manufacturer’s instructions and applicable building codes, and that the alarms work. It asks for the property address, owner name, permit number, alarm counts, printed name, date, and signature. The form applies where no interior access for inspection is required.

Who needs it

A property owner who self-installs smoke or carbon monoxide alarms where no interior access for inspection is required may need this affidavit.

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; no notarized or sworn attachment or related step is mentioned, so the signer just signs and dates it.

How to submit this form

  1. 1

    Download The Affidavit

    Download the Smoke/Carbon Monoxide Alarm Affidavit.

  2. 2

    Complete The Form

    Enter the property and owner details, permit number, and the number of smoke and carbon monoxide alarms installed.

  3. 3

    Review The Certification

    Confirm the alarms were installed according to the manufacturer’s instructions and are tested and operational.

  4. 4

    Sign And Date

    Print your name, then sign and date the affidavit.

  5. 5

    Submit To The City

    Submit the completed affidavit to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the Smoke/Carbon Monoxide Alarm Affidavit?
No. This document is signed without a notary, and it does not mention a notarized or sworn attachment or related step. The signer just signs and dates it.
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.
What information does the affidavit ask for?
It asks for the property address, owner name, permit number, the number of smoke and carbon monoxide alarms installed, printed name, date, and signature.
What does the owner certify on this form?
The owner certifies that the alarms were installed according to the manufacturer’s instructions and applicable building codes, and that they have been tested and are operational.

Need something notarized?

This Smoke/Carbon Monoxide Alarm Affidavit doesn’t need a notary — but if you have another Azusa form that does, a commissioned online notary can help.