FIRE MARSHAL REFERRALComplete this form to refer questions or issues to the Fire Marshal's Office for follow-up. You may attach forms or photos as needed. Name of Member Submitting Form (if applicable)Do you want to be included in response?NoYesName of Individual Requesting Service (if different than above)Phone Number for Call-backEmail AddressType of ReferralEvent RequestReport RequestPhone MessagePlan ReviewFire Code ViolationFire Alarm IssueNuisance AlarmFire System MalfunctionLockbox/Key IssuesBuilding-specific Radio IssuesPreplan SubmissionFirewatch OrderedComplaintOtherEvent or Incident Date and Time (if applicable)Building or Incident Address (if applicable)CityStateZip codeAdditional InformationAttachmentAttachmentAttachmentThere was a problem saving your submission. Please try again later.Please wait while your submission is being saved...Submitting...SubmitThank you, your submission has been received.