E-Gov Services Granite City

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.

Request a Fire Report

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Purpose. Use this form to request a fire report for an incident at that took place on your property. To pick up your report, you will have to bring the tracking number that you receive upon submittal of this form along with $5.00 payment for the report.

* Information is required.

Contact Information

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

Fire Incident Location:

* Address	- Or Other Not Listed - Invalid Address The address you entered does not match any in the system. You can select a valid address from the list, or if you are certain the address you entered is correct click the "Use the address I entered" button, to continue. The address you entered
Unit:
	Provide any additional information on problem location in the box below.

* Type of Fire

Structure

Vegetation

Vehicle

* Date of incident occurrence (mm/dd/yyyy).

* Time of incident occurrence

* AM or PM

Attach a Picture or File (max size: 30MB):

Add Another FIle

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Check here to have email confirmation of this submission.

* Information is required.

Notes:

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

Internal Use Only, Leave Blank:
Please leave this field blank and remove any values that have been populated for it.