Home safety inspection

Fill out this form to invite Fire Prevention Division staff perform a home safety inspection through the City's Home Safety Survey Program.

Home safety inspections are currently available for owner-occupied, single-family homes. 

You will be contacted within two business days of receiving your request to schedule a specific time for your appointment.

Please provide the following details
Contact information
Fire prevention topics
Acceptance of waiver

Liability Waiver: I understand that the Home Safety Survey Program (Program) is a voluntary, prevention-oriented home fire safety inspection program and that I have voluntarily invited the Bloomington Fire Department (BFD) into my home in order to perform a fire safety inspection.  I understand this is an optional, courtesy outreach program by the BFD and it is not a replacement for a certificate of occupancy or other regulatory or compliance requirements.

In recognition of these facts and in consideration of the voluntary performance of a fire safety inspection of my home located at the address provided in this form (Home), I, on behalf of myself, and all members of family, as well as my heirs, executors, administrators or successors, hereby waive any and all claims or causes of action of any nature that I have, or may have, against any and all individuals or organizations participating in the Program, including but not limited to the BFD, the City of Bloomington, Minnesota and their officers, agents employees, and volunteers.  I further hereby agree to release and hold harmless any and all individuals and organizations participating in the Program from and against all damages of any kind, to persons or property, arising or resulting from a fire or other damages in my Home. This includes but is not limited to providing or installing the safety equipment listed below or any safety education advice offered. I understand that the City of Bloomington and the BFD does not make any warranties as to the effectiveness of the safety equipment provided or installed. The only warranties applicable are those of the manufacturer of the safety equipment. I further agree that it is my responsibility to properly maintain or replace any safety equipment provided or installed by BFD.

By clicking the "agree" option and entering my name in the electronic signature field below, I acknowledge having read, understood, and agreed to the above waiver, release, and hold harmless agreement.