GRAMA Request for Fire Records

GRAMA Request for Fire Records

(If you are needing EMS/Ambulance reports, please see the information on Spanish Fork City Fire & EMS website under records.)
Spanish Fork City ordinance allows for up to ten (10) business days to provide the requested record, a denial or a notice of extended time for response to a records request.
Name of Person Making Request:*

First NameLast Name
Date of Birth of Person Making Request:*

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.
Email to send the report to:*
example@example.com
Address of Person Making Request:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
This is a request for a FIRE report only. (If you are needing ambulance records, you need to contact Sarah Moffitt at smoffit@goldcrossambulance.com)*

Yes, I need a Fire report
Description of records sought (describe with reasonable specificity such as type of report wanted, address of occurrence, names of people involved, case number if you have it, etc.)*
Copy needed for insurance purposesI would like to inspect the recordsI would like to receive copies of the records
I understand that I will be responsible for copy costs. General Fire Reports cost $25.00. I am willing to pay costs of up to: $amount* . I further understand that the agency will contact me if estimated costs are greater than the amount I have specified, and that the agency will not respond to a request for copies if I have not allowed for adequate costs. Payment is required at the time of GRAMA request submission.
If a record is "Non-Public", check one of the following and attach necessary documentation*

I am the subject of the recordI am the person who provided the informationI am the legal guardian of subject of the recordI am authorized to have access by the subject of the record or by the person who submitted the information (Attach copy of Power of Attorney)Other: Please explain below
If you chose "other" above, please explain:
Expedited Response (Media Member)

I am requesting an expedite response. (Please attach information that shows your status as a member of the media and a statement that the records are required for a story for broadcast or publication; or please attach other information that demonstrated that release of this information will benefit the public rather than the person.)
By signing below, I acknowledge that secondary dissemination to any unauthorized agency or person is PROHIBITED. *

Clear
Date*

MonthDayYear
Date

Report (please check)*

Fire Report

$25.00 Quantity
Item subtotal:$0.00

Total

$0.00

Credit Card

Please review Spanish Fork City's Privacy Policy Statement before submitting this form.
Should be Empty:

GRAMA Request for Fire Records

Spanish Fork City ordinance allows for up to ten (10) business days to provide the requested record, a denial or a notice of extended time for response to a records request.

Credit Card