Contact Fire Administration 623.930.4400
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Public Records Request
(Click "General")
Community Connection
We hope you had a positive experience with our services. Your feedback is very important and helps us improve our performance. Please take a few minutes to fill out this form.
Name (Optional)
First Name
Last Name
Date and time of the service provided?
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Incident Number
Were you satisfied with the service provided by our crew?
Yes
No
Glendale Fire Unit Serving You
Captain's Name
How can we improve our services? What did we do well?
Would you like a call/email back?
Yes, call.
Yes, email.
No
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Submit
Should be Empty: