Register interest for a Home Fire Safety Check in Moruya

Register interest for a Home Fire Safety Check in Moruya
Please enter details below to register interest in the Home Fire Safety Checks program in Moruya. The HFSC program is provided free of charge by Fire & Rescue NSW to residents within a Fire & Rescue district, (Inside the township of Moruya). Please be aware that completion of this form does not guarantee eligiability for the program, and participants that are registered below should not be considered part of the program until confirmed by Fire & Rescue NSW.
Name

First NameLast Name
E-mail
Contact Number*

Area CodePhone Number
Home Address

Street Address

Street Address Line 2

CityState

Post Code
Additional Notes, (Please include how many bedroom house you have to make it easier for us to know how many smoke alarms you may need)
EG, # bedroom house, large family,
Should be Empty: