FIRE MARSHAL REFERRAL Complete this form to refer questions or issues to the Fire Marshal's Office for follow-up. You may attach forms or photos as needed. Name of Member Submitting Form (if applicable) Do you want to be included in response?No Yes Name of Individual Requesting Service (if different than above) Phone Number for Call-back Email Address Type of Referral Event Request Report Request Phone Message Plan Review Fire Code Violation Fire Alarm Issue Nuisance Alarm Fire System Malfunction Lockbox/Key Issues Building-specific Radio Issues Preplan Submission Firewatch Ordered Complaint Other Event or Incident Date and Time (if applicable) Building or Incident Address (if applicable) City State Zip code Additional Information Attachment Attachment Attachment There was a problem saving your submission. Please try again later. Please wait while your submission is being saved... Submitting...Submit Thank you, your submission has been received.
