San Bruno, CA · San Mateo County

No notary required

Smoke Alarm Program Participant Hold Harmless, Waiver and Release

San Bruno Fire Department smoke alarm program participants sign this waiver and release when accepting a smoke alarm, batteries, or related equipment or services.

What this form is

This form documents a participant’s acceptance of a smoke alarm, batteries, or related equipment or services through the San Bruno Fire Department’s smoke alarm program. It describes the participant’s responsibility for smoke alarm maintenance and releases the City and others from claims connected with the program. The form asks for the participant’s name, date, address, phone, age group, signature, and installation and battery counts.

Who needs it

A person accepting a smoke alarm, batteries, equipment, products, or services through the San Bruno Fire Department smoke alarm program completes 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 participant just signs and dates it on the form.

How to submit this form

  1. 1

    Download The Form

    Download the Smoke Alarm Program Participant Hold Harmless, Waiver and Release.

  2. 2

    Complete The Form

    Enter your name, date, address, phone, and age group; record the detector and battery counts and sign.

  3. 3

    Check For Attachments

    The form does not identify any required attachments.

  4. 4

    Submit To The City

    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 Alarm Program Participant Waiver do?
It records acceptance of smoke alarms, batteries, or related items and services, and describes the participant’s maintenance responsibility and release of claims.
Who completes this San Bruno smoke alarm form?
A person accepting a smoke alarm, batteries, equipment, products, or services through the San Bruno Fire Department smoke alarm program completes it.
Do I need a notary for the Smoke Alarm Program Participant Waiver?
No. This document is signed without a notary; the participant just signs and dates the form.
How do I submit the Smoke Alarm Program Participant Waiver?
The form does not specify how to submit it. Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Smoke Alarm Program Participant Hold Harmless, Waiver and Release doesn’t need a notary — but if you have another San Bruno form that does, a commissioned online notary can help.