Request for Records

Request for Records


Your Information 
Name of company requesting information:
Company address:
Name of person making request:
Site address:
Name of last known business occupying site:
Purpose of the Request 
Environmental impact analysis?**
Other (please specify)
Records Being Requested 
Incident reponses (Environmental)
Incident reponses (Fire)
Incident responses (Emergency Medical)
Outstanding fire code violations
Other (please specifiy)
Is this requested under the Freedom of Information Act?Yes   No

Contact the Fire Marshal's Office for assistance (252) 972-1376.

Information will emailed with in 5 working days after receipt of the request.

Security Measure