Request to Report Arson or Suspicious Fire Activity

Request to Report Arson or Suspicious Fire Activity
I hereby submit my request for Fire Marshal follow-up regarding an arson or suspicious fire activity.
Do you wish to remain anonymous and skip Contact Information?*

YesNo
Contact Information
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
E-mail
Property Information
Date of Arson or Suspicious Fire Activity*

MonthDayYear
Approximate Time

:HourMinutesAM/PM Option
Address of Property in Question*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Please provide as much information regarding the activity in question (please include names, descriptions of persons or vehicles, etc.)*
Do you wish for follow-up contact from a Fire Marshal’s representative?*

YesNo
Phone number which to contact you if follow-up is requested

Area CodePhone Number
E-mail
Should be Empty:

Contact Information