E-Gov Services City of Ashland

WARNING! Please do not use this form to report issues of an emergency nature or for conditions requiring an immediate response. If your issue is an emergency, please use the telephone and dial 911.

Fire Division Comment and/or Concern Form

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Purpose. This form is used to communicate with City Fire personnel, any comment or concern. If requesting information on Fire Safety or Emergency Medical Services, please use the Fire Division Fire Safety/EMS Public Education form.

* Information is required.

Contact Information

* First Name:
* Last Name:
Business Name:
Email:
* Daytime Phone:	() –
Fax:	() –
* Address:
* City:
* State:
* ZIP:

* In which Township do you reside?

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* Comment and/or Concern...Remember to complete the email field if you want an email response.

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Notes:

If you send us a message, you will receive a Tracking Number allowing you to follow-up with your request, at your convenience.

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