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2. To notify the department of a possible arson that occurred in the incorporated city limit of Rogers, please submit the following information. Please be as detailed as possible.
4. Business Name
6. Business Address
8. Address 2
10. City
11. State
12. Zip
14. Please describe the fire code violation:
18. Would you like to be contacted about this issue?

    1. Yes
    2. No
20. Contact Information
    If you would like to be contacted about the problem you are reporting, or would like us to be able to reach you if we have a question, please fill out the information below.
22. First Name
23. Last Name
25. Email
26. Phone
28. Questions?
    If you have any questions regarding this issue, please contact the Fire Prevention Division at 479-621-1179.
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

* indicates a required field