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Home
About Us
Calendar of Events
Headlines & Announcements
History
Mission Statement
Ordinance Establishing Fire
Photos
Quick Links
Administration
Fire Chief
Commissioners
Administrative Staff
Office of the Fire Marshal
Forms
Homeowners
Online Resale Application
Incident Report Request
Request Smoke & Carbon Monoxide Alarm(s) Application
Business Owners
Time Extension Request Form
Program Request Form
Fire Safety Permit Application
Field Command
Winslow Twp. Second Responders
Fireman Relief - Winslow
Members Section
Employees Section
Field Operations
Station 253
Station 254
Station 256
Station 257
Station 258
Station 259
Career Staff
Map
Public Information
Seasonal Safety
General Safety
Fire Safety For Children
Agendas and Minutes
2024 - Agendas and Minutes
2023 - Agendas and Minutes
Archives - Agendas and Minutes
Public Records
Resolutions
OPRA Request
Budgets and Audits
Contract Awards
Fire Department Forms
Adopt a Hydrant Program
ICE In Your Mobile Phone
Become a Volunteer Firefighter
Contact Us
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Incident Report Request
Date of Loss
*
Incident if Known
*
Location of Incident or Fire
*
Are you the
*
Please Select...
Homeowner
Renter
Insurance Company
Attorney
Public Adjustor
Other
Name of Requestor
*
Address of Requestor
*
Contact Number
*
How would you like your report provided to you
*
Please Select...
Mailed
Faxed
Emailed
Picked Up
Address email or phone number to send report
Signature Print Name
*
I agree and understand that by signing the Electronic Signature Acknowledgment and Consent Form, that all electronic signatures are the legal equivalent of my manual/handwritten signature and I consent to be legally bound to this agreement.
*
I agree
For Office Use:
Approval
Approved
Denied
Fee
Please Select...
Yes
No
District Official Signature
*
- denotes required field
Administration
Fire Chief
Commissioners
Administrative Staff
Office of the Fire Marshal
Forms
Homeowners
Online Resale Application
Incident Report Request
Request Smoke & Carbon Monoxide Alarm(s) Application
Business Owners
Time Extension Request Form
Program Request Form
Fire Safety Permit Application
Field Command
Winslow Twp. Second Responders
Fireman Relief - Winslow
Members Section
Employees Section