? Use this application for any residential inspection request. DO NOT use this form for
commercial building inspection requests.
? This completed form can be mailed, faxed, or emailed to Howard County Department of Fire
and Rescue Services (see page 2).
? Indicate the intended occupancy classification and total number of persons if applicable. This
will let the inspector know the necessary inspection requirements.
? This section must be completed by the agency requesting an inspection for adoption or foster
? This is information on the home to be inspected. Please note any special instructions or
? Indicate if this is an initial or renewal inspection for foster care only. Indicate the deadline for
the inspection. Please note that a minimum of 14 working days are required to schedule the
? You will receive a invoice for an inspection fee of $75.00 for all initial inspections and $50.00 for
all renewal inspections.
? If any violations are noted, a re-inspection may be necessary.
? The resident will receive two copies of the inspection report. It will be the homeowner’s
responsibility to forward a copy to the requesting agency.
? Do not call the Fire Marshal’s office. Once your check has cleared, the Fire Marshal’s office will
call to make an appointment for the inspection.
? If applicable, this section will be completed by the case worker for foster care.
HOME INSPECTION REQUEST
To: Howard County Department of Fire & Rescue
ATTN: Office of the Fire Marshal Phone: 410-313-6040
6751 Columbia Gateway Drive Fax: 410-313-6066
Columbia, MD 21046-2164 Email: email@example.com
Proposed Child Foster Care for _____ person(s) Adult Foster Care for _____ person(s) Use
Adoption ______ person(s) Home Safety Inspection __________
* NOTE: You will receive an invoice for an inspection fee of $75.00 for all initial inspections and $50.00 for all renewal
inspections. Once your check has cleared The Fire Marshal’s office will call to make an appointment for the inspection.
Section A: Requesting Agency for Foster Care or Adoption Inspection
Name of Requestor: Date of Request:
Requesting Agency: E-Mail of Agency:
City/Town: Zip Code:
Agency Telephone Number: Agency Fax Number:
Section B: Residence
City/Town: Zip Code: County:
Home Phone: Work Phone: Other Phone: (specify, cell, etc.)
Section C: Inspection Type
Initial Inspection _____ Renewal Inspection _____ Due Date ____________________
_______ Home approved _______ Violations noted on attached Inspection sheet
Signature of Inspector: ________________________ ID# _________ Date: _____________
I certify the violations as noted on the attached inspection sheet have been corrected.
Signature of Case Worker: _________________________ Date: ___________