Charles County Resource Parent Portal

Fire Safety Survey and Escape Plan

This comprehensive fire safety assessment evaluates your home's fire safety measures and escape planning. A detailed escape route diagram is required as part of this assessment.

Important: Before completing this form, please create a detailed escape route diagram showing all floors, exits, meeting points, and safety equipment locations. You will need to describe this diagram in detail as part of the form.

Fire Safety Survey and Escape Plan Assessment

This assessment helps ensure your home meets fire safety standards for foster care placement.

Form Details

Please provide the required information below.

Important Notice

Please select your assigned caseworker(s) from the list below. You can select multiple caseworkers if needed. If you are unsure who your caseworker is, please contact CCDSS at (301) 609-6000 before proceeding.

My Caseworker(s) *

This form will be sent to your selected caseworker(s) for processing. Select all relevant caseworkers.

Contact Information

Please provide your contact details for this assessment.

First Name *

Last Name *

Email Address *

Phone Number *

Property Information

Provide details about your property and its characteristics.

Property Address *

Property Type *

Number of Floors *

Smoke Detection Systems

Provide information about smoke detectors in your home.

Do you have smoke detectors installed? *

Smoke Detector Locations

Smoke Detector Type

How often do you test smoke detectors?