Contact Information Contact Information First & Last Name Company Name Email Phone Company Address Property Information Address of Property Address Town Province Postal Code Property Owner's Name First Name Last Name Date of Fire Incident Additional Information Authorization to Release Information Form Attach a completed Authorization To Release Information form from the property owners if you are a third party wishing to receive a copy of the fire incident report.One file only.2 MB limit.Allowed types: jpg, jpeg, pdf.*Important – from the time Niagara West Fire and Emergency Services receives your form and payment, it can take up to 30 days to process your request.*
