Service Request

East Point Fire
3121 Norman Berry Drive
East Point, GA 30344

Office: (404) 559-6401 | | Fax: (404) 765-1172
Email: Fire@EastPointCity.org
Website: www.eastpointcity.org

Service Request
*Please return this form via email, fax or mail to: East Point Fire (see above).

Requesting Service (please check all that apply):*

Organization Name:*

Event Name:*

Organization Address:*

Event Date:*

MonthDayYear

Event Address:*

Contact Person:*

Telephone:*

In order to provide and/or display the Fire Safety House, all conditions MUST be met:

Leveled Entrance, Exit, and Parking Area(s):*

Location Free of Hazards (traffic, obstructions, trees, etc.):*

Please Note: Approval of BC indicates request has been confirmed and/or denied by contacting requestor.

Mission Statement

To provide exceptional city services in the most professional, courteous and effective manner to enhance the quality of life in the City of East Point.

FOR OFFICIAL USE ONLY

Date:

MonthDayYear

Person Taking Request:

Battalion Chief Approval: