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Montgomery County Fire & Rescue Service
Fire Code Enforcement
Go-Bag Refill Form 
 
 
Complete the following form and select the submit button to order refill supplies for a Go-Bag.

Date: (Required)

Name and Rank/Title: (Required)

Unit:

Email:

Phone:


Item Language GoBag
Holds:
Quantity
Smoke Alarms   4
Smoke Alarm Batteries   4
File of Life Packets   10
911 Stickers   20
"Put a Finger On It" Campaign
Door Hangers
English
Spanish
50
50

NFPA Coloring Books English
Spanish
15
15

NFPA: Candle with Care   25
NFPA: Home Fire Prevention Checklist
or Ten Tips for Fire Safety
  25
NFPA: High Rise Evacuation   25
NFPA: Fire Safety for Preschoolers   25
NFPA: Holiday Safety   25
NFPA: Fire Safety for People with Disabilities   25
First Aid Slide Glides English
Spanish
10
10

Fire Safety Inspection Clipboard   1

If the order has any quantities greater than what the GoBag holds the entire order will be sent to Bill Delaney.

     

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Montgomery County Fire & Rescue
Code Enforcement Section

255 Rockville Pike, 2nd Floor
Rockville, Maryland 20850

Office: (240) 777-2457
Fax: (240) 777-2465

Last edited: 11/8/2010