Smoke & CO Alarm Acknowledgement

Smoke & Carbon Monoxide Alarm Acknowledgement

This form confirms that the tenant(s) have been made aware of the smoke and carbon monoxide alarms in the property, that they have been tested in their presence, and that they understand their responsibilities.

1. Acknowledgement Details

Date of Acknowledgement / Alarm Testing

Property Address

Landlord/Agent Name

Tenant(s) Name(s)

2. Smoke Alarm(s) Confirmation

Smoke alarm(s) are installed in the property.

Location(s) of Smoke Alarm(s):

The smoke alarm(s) listed above were tested in my/our presence on the date specified and found to be in good working order.

Tenant(s) understand it is their responsibility to test smoke alarms regularly (e.g., weekly or monthly as advised) and to report any faults to the Landlord/Agent immediately. Tenant(s) also agree not to tamper with or disable smoke alarms.

3. Carbon Monoxide (CO) Alarm(s) Confirmation

Carbon Monoxide (CO) alarm(s) are installed in the property (as required by law, e.g., in any room with a solid fuel-burning appliance or gas appliance).

Location(s) of CO Alarm(s):

The CO alarm(s) listed above were tested in my/our presence on the date specified and found to be in good working order.

Tenant(s) understand it is their responsibility to test CO alarms regularly (e.g., weekly or monthly as advised) and to report any faults to the Landlord/Agent immediately. Tenant(s) also agree not to tamper with or disable CO alarms.

4. Signatures

By signing below, the Tenant(s) acknowledge the information above regarding the smoke and CO alarms and understand their responsibilities.

Tenant(s)

Tenant 1 Signature (Type Full Name) Date

Landlord / Agent

Landlord/Agent Signature (Type Full Name) Date