Fire Complaint Form

Fire related complaints will only be received by one communication method, via this form, and not through multiple channels.

Your identity will remain confidential from the subject of the complaint, except as required by law, including court proceedings or the Freedom of Information and Protection of Privacy Act (FIPPA). If the matter proceeds to court, you may be required to testify, and your name and complaint may become public record.

Personal information collected is used for investigations and may be shared with appropriate departments or agencies. Collection and use are authorized under FIPPA. By submitting this form, you consent to this use. The Town reserves the right to determine the appropriate enforcement response.

Complainant Contact Information

First Name:

Last Name:

Phone Number:

Email:

Property Address of Complainant (including postal code):

Address of Complaint

Property Address of Complaint (including postal code):

First and Last Name of the Property Owner (if known):

Details of Complaint

Type of Complaint:

Fire Code Violation

Fire Hazard

Unauthorized Burning

Other

Type of Property:

Industrial

Residential

Commercial

Other

Date of Incident:

Time of Incident:

Description of Complaint (provide a detailed description of the issue and any parties involved):

Have you reported this issue before:

Yes

No

Is there any immediate risk to your life or property?:

Yes

No

Attach supporting information (photo, document)

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Complainant Signature:

Clear

Date: