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Incident Report Request
Incident Report Request
Fill out this form to request a copy of an incident report or incident report and any other records in regards to the incident. Please provide as much information as possible to allow us the best chance of locating the incident. The typical response time is the next business day.
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Your Information
This information is what we will use to contact you about this request.
Your Name
*
First
Last
Your Email Address
*
Your Phone #
*
Incident Information
This information is used to help us locate the incident.
Incident # (If Known)
Type of Incident
*
Motor Vehicle Accident
Motor Vehicle Accident
Structure Fire
Wildland Fire
Vehicle Fire
Haz-Mat
Rescue
Medical
Other
Unknown
Date of Incident
*
Address of Incident
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Delivery Information
Provide information on how we should get the requested information to you.
Method of Delivery
*
Email
Fax
Mail
Hold for Pickup
How would you like us to provide the report to you?
Fax
Mailing Address
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Information Requested
*
Submit
Smith County Emergency Services District 2
PO BOX 780
WHITEHOUSE, TX. 75791-0780
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