Request For Fire Investigation Report printable pdf download

Request For Fire Investigation Report

Windsor Fire & Rescue Services

815 Goyeau

Windsor, ON N9A 1H7

519-253-3016

Fax: 519-258-1126

Date:

____________________________

Attention: Fire Prevention Division

REQUEST FOR FIRE INVESTIGATION REPORT

Requested by:

____________________________

Phone:

____________________________

Insured’s Name:

_______________________________________________

Address of Fire:

_______________________________________________

Date of Fire:

_______________________________________________

Run Number (optional):

_______________________________________________

Insurance File Number:

_______________________________________________

Fire Report - (If Investigator DID NOT attend scene). You will receive

Dispatch and Captain’s Report.

Fire Report - (If Investigator DID ATTEND scene). You will receive

Dispatch and Captain’s Report, Investigator’s Report, Crews’ witness

statements, and photos, if any.

Schedule of fees:

Item 1 - $125.00 (HST IS NOT APPLICABLE)

Item 2 - $250.00 (HST IS NOT APPLICABLE)

Please make your cheque payable to Windsor Fire & Rescue Services and accompany this

request form with the cheque.

Request For Fire Investigation Report