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Chief’s Welcome
Meet Our Staff
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Contact in Spanish
PROYECTO: DESPIERTATE!
Formulario para Pedir Detector de Humo
Usted debe de residir en el Condade de Collier and lenar el formulario para pedir un detector de humo completamemte para ser considerado de participar en el programa.
CONTACTAR EN ESPAÑOL
Duefio de Propiedad
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Apellido
Primer
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Inquilino en el lugar de ubicaion cuando sea instalacion
NOMBRE:
Aplellido
Primer
TELEFONO:
TELEFONO:
DIRECCION:
Numero de Calle
Ciudad
Estado
Codigo Postal
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
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Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
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Türkiye
US Minor Outlying Islands
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Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
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Åland Islands
País
Yo vivo en la juridiccion de el______ Districto de la Estacion de Fuego
1. Usted ha tenido algun incendio serio en su hogar corriente o hogar previo?
SI
NO
2. Usted tiene un tedector de humo?
(a). SI
(a). No
Other
Los dectetores trabajan en este momento?
SI
NO
Sino trabajan, porque? (cheque los motivos)
Les quite las baterias
Las baterias no funcionan
Otro motivo (por favor describir)
Other
Si No tiene, porque no lo tiene?
No tengo recursos
No pense en eso
No tengo tiempo
para para comprar Ono
No puedo instalar
Other
3. Cuanto nifios de edad de 5 afios y menor viven en su casa?________
4, Cuantos inquilinos inuyendo nifios viven en su casa?_______
5. Yo vivo (cicule uno) — una planta- dos plantas- casa mobil- duplex.
6. Cuantos pies cuaados aproximadamente mide su casa?________
Si yo soy elegible por los requisitos, sere contactado por Districto que Controla Fuegos para progamar la instalacion dentro de 30 dias. Yo entiendo que este pedido para un detector de humo no garantiza que la ayuda sera concedidad, pero sera usada para determiner derecho al programa.
Firma de Pedidor
Fecha
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