Online Forms

Fire Report Request

2. Requestor Name*
3. Agency Name (if applicable)
5. Mailing Address*
7. Phone Number
8. Fax Number
9. Email
11. Preferred Method of Contact*
    -- Select One --EmailU.S. MailFaxIn Person
15. Location / Address of Fire*
17. City*
    -- Select One --EugeneSpringfield
19. Date of Fire
    Date of Fire
20. Estimated Date of Fire
    If the actual date of the fire is unknown, please provide an approximate date.
22. Type of Report Requested*

    1. Basic Incident Report
    2. Investigation Report
    3. Photo Disc
Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field