Report a Fire Hazard
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address of Hazard
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Description of fire hazard (i.e. It’s 2nd floor looks like it’s about to fall down. I’m worried it’s a fire hazard.)
*
File Upload
Browse Files
Drag and drop files here
Choose a file
Cancel
of
File Upload
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: