FIRE-RESCUE-EMS

FIRE-RESCUE-EMS

Voice-capable on mobile devices. Cardinal News Public Safety Reporter not affiliated with any 911 center, police or fire agency. (* = REQUIRED)
Please agree #1) to call 911, if necessary, before proceeding with form, and #2) NOT to use this form while driving a vehicle (Don't agree? Form won't submit).
WHAT IS THE ADDRESS OF THE EMERGENCY: Please enter exact address (exact numeric addresses will not be published), or enter Intersection or Nearest Intersection ...

Street Address or Intersection (both streets)

Street Address Line 2

CityState

Zip Code
Incident Date

MonthDayYear
Date
Are you sure of the date?
Time

:HourMinutesAM/PM Option
Are you sure of the time?
What was involved (check all that apply) ...

Other
How many ambulances on scene? (check one)
DETAILS ...
Police and Fire Agencies on Scene ...
(e.g., Chicago Police Department, Chicago Fire Department)
Please Add Details (describe what you saw/heard)
Describe any hazards and other details you noticed.
How do you know about incident? (check what applies)

Other
Upload Image (optional)
UPLOAD IMAGES OR VIDEO ...

Browse Files
Limited to 8 images or 1 video (1 GB max). By submitting YOUR* photo(s) or video, you agree to allow Cardinal News to publish the photo(s) or video on websites and social media connected to Cardinal News in perpetuity. *Upload photo(s) or video(s) if media was captured by you. Cancelof
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Cell Phone # (xxx-xxx-xxxx)
(OPTIONAL/WILL NOT BE PUBLISHED)
OK to Contact you by cell phone text msg?
Email
example@example.com (Enter email address to receive a summary of your entries for your records. Submitting your email may help CARDINAL NEWS verify additional information. Your email is not used for any other purpose).
Incident Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
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