Book a home safety visit

Use our online form to register for a home safety visit.

After you've submitted your request, a member of our team will give you a call to arrange a time that's convenient for you. If you'd prefer to phone us then please give us a call on 0800 05 02 999

In the event of a fire or if your carbon monoxide alarm is sounding, please call 999

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I would like to express an interest in a home safety visit for:

Your contact details

Please provide your contact details. You will receive an email confirmation.
Name

Your agency details

Agency name

Your relationship to the person


Please let us know the relationship to the person you are referring.
Relationship to the person being referred

The occupier details

Please provide the main contact details of a person (at the household) who you are referring for a home safety visit.
 
Occupier details
Title
Who can we contact to arrange the visit?

About the household

Please provide as much information about the household as you can. 
Occupier address
Is there a working smoke alarm in the property?
Please provide any additional information about the household and detail any risks to our staff.

If you're not sure, please leave this field blank.
How did you hear about our home safety visits?