Sedgwick County Fire District 1
Yearly Renewal for Residential Day Care Facilities
(Licensed and Registered)

Please complete the form below to renew your registration or license for Residential Day Care online.  After completing the form please click on the SUBMIT button at the bottom.

Today's Date:
Name:	(Required)
Address:
Phone:
Your E-mail:
Does your home have a basement: Yes  No
If yes, do you use your basement for day care?  Yes  No
Do you use a 2nd floor (above ground level) for day care?  Yes  No
This renewal is for a   Select Registered Licensed  Residential Day Care facility.
Have you conducted and recorded fire drills on a monthly basis?  Yes  No
Is your Fire Escape Plan posted?  Yes  No
Have you completed your Fire/Life Safety Agreement form?  Yes  No
Has your fire extinguisher(s) had their annual servicing?  Yes  No
Have your smoke alarms been tested and are working?  Yes  No
Form Validation: Enter the code displayed in the box next to the form field in lower case:

[fire/_private/navigation.htm]