UNIVERSITY RENTALS
8 North Court Street
Suite 304
Athens, Oh. 45701
(740) 594-9098

Please review all of the smoke detectors and fire extinguishers to complete report.

Date:____________________ Address:______________________________

SMOKE DETECTORS: WORKING NON-WORKING

BEDROOM #1 ___________ ______________

BEDROOM #2 ___________ ______________

BEDROOM #3 ___________ ______________

BEDROOM #4 ___________ ______________

BEDROOM #5 ___________ ______________

BEDROOM #6 ___________ ______________

OTHER ___________ ______________

1ST FLOOR ___________ ______________

2ND FLOOR ___________ ______________

3RD FLOOR ___________ ______________

BASEMENT ___________ ______________

FIRE EXTINGUISHER:

CHARGED DISCHARGED

DATE: ___________ ______________

_____________________________
Tenant Signature

_________________________________
University Rentals Agent Signature