Who completes the alarm retrofit verification?

The form requests the property owner's name and the tenant's name, or “SAME” if the owner occupies the dwelling. Both the owner and tenant signature lines must be completed.

What does the verification confirm?

The signer affirms that required smoke and carbon monoxide alarms have been installed in the dwelling in compliance with the stated requirements and manufacturer's instructions, and that they have been tested and function properly.

San Jacinto, CA · Riverside County

No notary required

Smoke and Carbon Monoxide Alarm Retrofit Verification

Property owners and tenants use this form to verify that required smoke and carbon monoxide alarms are installed and working in a dwelling.

What this form is

This verification records that required smoke and carbon monoxide alarms have been installed in a dwelling and tested. The form describes alarm requirements for certain permitted work exceeding $1,000 and for existing dwellings with a fossil-fuel-burning heater or appliance, fireplace, or attached garage. It asks for the property address and owner and tenant names, and requires both the owner and tenant to sign and date.

Who needs it

Owners and tenants completing alarm verification for a dwelling covered by the requirements described on the form should provide the requested information and signatures.

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 and tenant both sign and date the verification.

How to submit this form

1
Download the Form
Download the Smoke and Carbon Monoxide Alarm Retrofit Verification.
2
Complete the Property Details
Enter the owner's name, tenant's name (or “SAME” if owner occupied), and dwelling address.
3
Confirm Alarm Installation
Read the requirements and confirm the required alarms are installed and tested.
4
Sign and Submit
Both the owner and tenant must sign and date the form. Submit it to the city department named on the form.

Frequently asked questions

Do I need a notary for the Smoke and Carbon Monoxide Alarm Retrofit Verification?: No. This document is signed without a notary; the owner and tenant both sign and date the verification.
Who completes the alarm retrofit verification?: The form requests the property owner's name and the tenant's name, or “SAME” if the owner occupies the dwelling. Both the owner and tenant signature lines must be completed.
What does the verification confirm?: The signer affirms that required smoke and carbon monoxide alarms have been installed in the dwelling in compliance with the stated requirements and manufacturer's instructions, and that they have been tested and function properly.
How do I submit the alarm retrofit verification?: Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Smoke and Carbon Monoxide Alarm Retrofit Verification doesn’t need a notary — but if you have another San Jacinto form that does, a commissioned online notary can help.