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2. Reporting Person's Contact Information
4. Do you wish to provide your contact info?*

   1. Yes
   2. No, I wish to remain anonymous

   If you choose to remain anonymous, please skip to the "Location of Issue" section.   Note if contact information is not provided, Fire Department staff will be unable to contact you if additional information is needed.

6. Name
7. Phone Number
8. Email
10. I am reporting on:*
    -- Select One --Weed AbatementFire Code ViolationArson Tip

    Choose the topic you are reporting on.

14. Location of Issue
16. Property Address or Cross Streets, City*
18. Tenant / Owner’s Name
20. Problem Description*

    Describe the issue you are reporting.  Include any relevant names, addresses, and phone numbers that may not have been listed in the information above.

Leave This Blank:


22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field