By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Vial of Life Kit Request Form

  1. El Cerrito and Kensington residents can complete this form to obtain your free Vial of Life kit from the El Cerrito-Kensington Fire Department. For more information, please call 215-4450.

  2. Leave This Blank:

  3. This field is not part of the form submission.