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A non-profit 501(c)3 org

 

CPR Information
Fire Safety House
Social Hall Rental
Request Home Safety Visit
Fire Extinguisher Training
 
SAMS (members only)

 

EMS Manager
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We use FIRE Manager for online scheduling

2018 Incident Responses
Month Station 8 Station 28 Total
Jan 791 384 1175
Feb 642 286 928
Mar 682 310 992
Apr 642 288 930
May 790 311 1101
Jun 754 263 1017
Jul 735 310 1045
Aug 738 324 1062
Sep 744 343 1087
Oct 714 318 1032
Nov 705 299 1004
Dec
Total 7937 3436 11373

Historic Incident Responses
Year Station 8 Station 28 Total
2017 9088 3616 12704
2016 11478 3664 15142
2015 11109 3421 14530
2014 10602 3438 14040
2013 10316 3443 13759
2012 10313 3703 14016
2011 9956 3819 13775
2010 10406 3727 14133
2009 10837 3631 14468
2008 11088 3605 14693

2018 Unit Responses
Month Station 8 Station 28 Total
Jan 1603 523 2126
Feb 1305 407 1712
Mar 1417 430 1847
Apr 1329 403 1732
May 1671 438 2109
Jun 1581 387 1968
Jul 1466 426 1892
Aug 1498 455 1953
Sep 1502 462 1964
Oct 1440 454 1894
Nov 1457 401 1858
Dec
Total 16269 4786 21055

Historic Unit Responses
Year Station 8 Station 28 Total
2017 17131 4994 22125
2016 16844 4866 21710
2015 16508 4502 21010
2014 16035 4484 20519
2013 15395 4546 19941
2012 15282 4735 20017
2011 14735 4828 19563
2010 15499 4672 20171
2009 15593 4384 19977
2008 16032 4554 20586

Home Fire Safety Visit Request Form

Please confirm whether you are the resident or you are applying on someone else’s behalf, in which case you will need to enter contact information for yourself and the occupier. All fields marked with an * are required.

Required   Indicates Required Field
Are you the resident?: Yes
No
Resident first name: Required
Resident last name: Required
Home address: Required
:
City: Required
Zip code: Required
Email address:
Is this address Owner-Occupied?: Required Yes
No
Is this address a Tennant-Occupied-Rental-Unit?: Required Yes
No
Is this address home to any pets(cats and dogs)?: Required Yes
No
Phone (day) Area code (###): Required
Phone (day): Required
Age of residence (yrs):
Phone (evening) Area code (###):
Phone (evening):
I prefer you contact me by: Phone
Email
No Preference
Type of home (single family, apt, townhouse etc.): Required
Number of floors in home:
Number of working smoke alarms:
Senior citizen?: Required Yes
No
Children in the home?: Yes
No
Any special needs so we can customize our visit (examples: hearing impaired, low vision):
Do you have at least one working smoke alarm in your home?: Required Yes
No
Have you ever experienced a house fire?: Yes
No
How did you hear about this program?:
If you are filling this out on behalf of someone else, please provide your information:
Contact first name:
Contact last name:
Contact Phone Area code (###):
Contact phone:
Contact phone ext:
Contact email:
Prefered appointment times:
Additional information - please supply us with any additional information you would like us to be aware of:




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Gaithersburg - Washington Grove Volunteer Fire Department
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Gaithersburg, Maryland 20879
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