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FORM #11 - Smoke and Carbon Monoxide Alarm Agreement

  • Tenant(s):
  • Tenant(s):
  • Address: Unit:
  • City: , OREGON Zip:

All rental units are required to have functioning smoke detectors/alarms.
___ This property is required to have a carbon monoxide alarm.

Where the word alarm is used, it means a smoke alarm and/or a carbon monoxide alarm.

Tenant(s) hereby acknowledge the presence of alarm(s) in good working condition in the rental unit. Tenant(s) are aware that they are responsible to test and clean the alarm at least once every six (6) months, but preferably once a month.

The undersigned are aware that the Owner/Agent is not liable for loss or damage due to failure of the alarm(s) to operate.


Removing or tampering with a properly functioning alarm, (which includes removal of operable batteries) is punishable under Oregon Law with fines up to $250.00 per alarm, per occurrence and may subject the tenant to penalties under the rental agreement and could result in the termination of the tenancy.

By signing, all parties acknowledge having read and understood this agreement.

All rental units are required to provide smoke alarms/detectors and carbon monoxide alarms (where applicable) and provide a written notice containing instructions for testing of the devices, this agreement satisfies those requirements.


Testing should be done at least once every six (6) months by pushing the test button and/or using simulated smoke. The alarms should be cleaned with a vacuum cleaner at least every six (6) months. In battery-powered alarms with removable batteries, chirping occurs when batteries are failing. Tenant(s) must replace dead batteries with 10-year lithium batteries, as required by law. Tenant(s) shall immediately notify the Owner/Agent in writing of any operating deficiencies as described in ORS 479.


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1462 Commercial St. NE, Salem, OR 97301
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