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Home
Fire Stations
Board Minutes
EMS
Patient Satisfaction Survey
Complaint Form
Fire Prevention
Education & Safety Tips
>
For Seniors
Youth Fire Prevention
Escape Plan
Open Burning
Construction
Request Forms
>
Smoke Detector Request Form
Education/Event Request Form
Visits & Tours
NEWS & TIPS
Contact Us
Open Records Request Form
Contact Us
HIRING
Fire Runs & Open Records Request Form
Please note: This form
IS NOT
for requesting protected healthcare information. Those requests need to be made with the proper signed HIPAA compliant paperwork through our business office.
*
Indicates required field
Requester Name
*
First
Last
Business/Organization Name (If Applicable)
*
Are You a Media Organization?
*
Yes
No
Please provide us with a means to contact you. We must have a way to contact you (email preferred, for expediency), should responsive records become available.
Phone Number
*
Email
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Complaint Statement
Is this request for an environmental study?
*
Yes
No
Type of Question
*
911 Call/Fire Report
Fire Inspection Report or Letter
Permit
Other
Date
*
Response Location
*
Line 1
Line 2
City
State
Zip Code
Country
Records Timeframe From and To
*
Describe the specific record or records you wish to examine here or submit attachment with record description below:
*
Upload File
*
Max file size: 20MB
Submit