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2. A fire run report will be available to be picked up after 2 p.m. on the following business day at the Fire Administration Office, located at 201 North 1st Street. If you have any questions, please contact the office at 479-621-1179.
4. First Name
5. Last Name
7. Address
9. Address 2
11. City
12. State
13. Zip
15. Phone
16. Email
18. Company Name (If Applicable)
19. Company Phone
23. Street Address of Fire
25. Address 2
27. City
28. State
29. Zip
31. Fire Date
    Fire Date
33. Request By:

    1. Owner
    2. Occupant
    3. Other
34. If other, please indicate below:
Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field