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? *

Yes No
Contact Information
Full Name

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number

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

Month Day Year
Approximate Time

: Hour Minutes AM/PM Option
Address of Property in Question *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
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? *

Yes No
Phone number which to contact you if follow-up is requested

Area Code Phone Number
E-mail
Should be Empty:

Contact Information