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2. Requester First Name*
3. Requester Last Name*
5. Requester Phone Number*
6. Fax Number
7. Requester Email Address*
9. Relationship to Incident*
   Indicate your relationship to the incident (homeowner, renter, vehicle owner, insurance company, etc).
11. Return via:*

    1. Email
    2. Fax
    3. Pick-up at Fire Station #2 (13073 Orono Pkwy)

    Pick-up is available Monday-Friday during regular business hours. We do not send fire reports via mail.
13. Address of Incident*
15. City*
16. State*
17. Zip*
19. Type of Incident*
    Indicate the type of incident (structure fire, vehicle fire, fire alarm, etc).
20. Date of Incident*
    Date of Incident
22. Additional Comments
    Indicate any further information you have that may help us locate the incident in our records.
24. Fire Incident Report Request Terms and Conditions
    Fill out the entire form; incomplete forms will not be processed. All Fire Incident Reports are available for release after they have been reviewed and approved by the Fire Chief. Please allow 7-10 business days for your request to be processed. If you chose to pick up the report, we will notify you when it is ready.
26. Terms and Conditions Confirmation*

    1. I acknowledge that I have read, understand, and agree to the Incident Report Request Terms and Conditions.
    2. I certify that the information I provided on this form is true, accurate, and complete.
Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field