Incident Report
Please enter report information, and then click
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.
* Required fields
Date of Service:
*
Location:
*
Billable?
Yes
No
*
Incident#:
*
Nature of Call:
*
Select all that apply:
1
Assist EMS
13
Car Fire
2
Control Burn Fee
3
Extrication
4
False Alarm Fee
15
Grass/Wildland Fire
5
HM-Roadway Cleanup
14
Landing Zone Setup
9
Major MVA
8
Minor MVA
6
Roadway Cleanup
11
Structure Fire Commercial
10
Structure Fire Home
12
Structure Fire Other
7
Traffic Control
Total Time on Scene:
*
0
1
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12
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60
hours minutes
Dispatch Time:
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60
hours minutes
Arrival Time:
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59
60
hours minutes
# of Personnel on Scene :
*
Report Completed by:
*
Department Name :
*