Fire Department Records Request Form
Submit a request for fire department records in accordance with the open records act.
Your Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number (optional)
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Incident (if applicable)
-
Month
-
Day
Year
Date
Incident Location (if applicable)
Names of Parties Involved (if known)
Please describe the records you are requesting
*
Additional Comments or Clarification (optional)
Submit Request
Should be Empty: