Carbon Monoxide alarm request

Thanks to our partners at SGN, if you live within their Southern Network region and are recently bereaved, we’re able to provide you with a free Carbon Monoxide alarm to help you stay safe at home.

We can issue one alarm per eligible household. The list of eligible counties and London boroughs is below. 

Eligible counties: Dorset, Hampshire, Isle of Wight, Kent, Surrey, Sussex and parts of Berkshire and Oxfordshire

Eligible London boroughs: Bexley, Bromley, Croydon, Greenwich, Kingston, Lewisham, Lambeth, Merton, Richmond, Southwark, Sutton, Wandsworth 

To request your alarm, please fill in and submit the form below. It can take up to two weeks for your alarm to arrive once your request has been submitted. 

Thanks to our partners at SGN, if you live within their Southern Network region and are recently bereaved, we’re able to provide you with a free Carbon Monoxide alarm to help you stay safe at home.

Part 1: Please complete the following Carbon Monoxide awareness questions

Please fill in the short form below to request your free carbon monoxide alarm. Because these alarms have been funded by the energy regulator Ofgem, we are required to ask a few short questions about your understanding of carbon monoxide safety before we can provide your alarm. Please note that your responses, including partial postcode data, will be shared with Ofgem for reporting purposes to help us understand and improve carbon monoxide safety awareness. Make sure you have either read our carbon monoxide safety page on the Cruse website or have had a carbon monoxide safety conversation with one of our team, before you complete this form and request your alarm.
Why do you require a CO alarm?(Required)
Your home is(Required)
How did Cruse help you learn about carbon monoxide safety?(Required)
Please enter a number from 1 to 10.
1 = not at all aware 10 = fully aware
Please enter a number from 1 to 10.
1 = not at all aware 10 = fully aware

Part 2: Thank you for your answers to the survey. Please now complete the details below to request your free carbon monoxide alarm.

Your Name(Required)
Your Address(Required)
Confirmation(Required)
Consent(Required)
At Cruse we value those we support, our supporters, the professionals we train and take your privacy very seriously. You can withdraw your consent to be contacted at any time by emailing gdpr@cruse.org.uk. For more information about how we protect and use your personal data, please read our full privacy policy at https://www.cruse.org.uk/privacy-policy/
Consent to receive communications from Cruse(Required)
Cruse occasionally sends marketing communications, including fundraising and volunteering news, as well as events or updates relevant to bereaved people

Please note we are only able to provide an alarm if you are recently bereaved and live within the SGN Southern Network counties listed at the start of this form. If you submit a form but do not live in this region, or have not experienced a recent bereavement, we will not be able to send you an alarm.