Glendora, CA · Los Angeles County

No notary required

Self Certification of Installation of Smoke/Carbon Monoxide Alarms

Property owners use this form to certify that smoke and carbon monoxide alarms have been installed, tested, and are operational at a residential property.

What this form is

This voluntary self-certification form lets a property owner verify that smoke and carbon monoxide alarms have been installed according to the manufacturer’s instructions and the California Residential Code, and that they are operational. It asks for the property address, owner and permit details, contractor information, alarm counts, and the owner’s printed name, date, and signature. The form also lists alarm locations and installation requirements.

Who needs it

A property owner who chooses the city’s voluntary self-certification procedure for installed smoke and carbon monoxide alarms can complete 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 owner just signs and dates the certification.

How to submit this form

  1. 1

    Download the Form

    Download the smoke and carbon monoxide alarm self-certification form.

  2. 2

    Complete the Property Details

    Enter the property address, owner and permit details, contractor information, and total numbers of alarms installed.

  3. 3

    Review the Alarm Requirements

    Review the listed installation locations and requirements, then certify that the alarms are installed as instructed and are operational.

  4. 4

    Sign and Date

    Print the owner’s name, enter the date, and sign the certification.

  5. 5

    Submit to the City

    Submit the completed form 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 and carbon monoxide alarm certification?
No. The owner signs and dates the certification; the document does not require a notary.
How do I submit the alarm self-certification form?
The form does not provide submission instructions. Submit it to the city department named on the form and check the city website for current contact details.
What information does the form ask for?
It asks for the property address, owner name, permit number, licensed contractor and license number, alarm counts, and the owner’s printed name, date, and signature.
Is self-certification required?
The form describes self-certification as voluntary. It says an owner who prefers verification by a city building inspector must arrange for an adult to be present and provide a ladder and access to the alarm locations.

Need something notarized?

This Self Certification of Installation of Smoke/Carbon Monoxide Alarms doesn’t need a notary — but if you have another Glendora form that does, a commissioned online notary can help.