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Fire Incident Report Request Form

  1. Note

    Please make sure you complete this form, providing as much information as possible. Attach all required documents. Enclose a check or money order made payable to the City of Miramar. Mail Checks or money orders directly to 14801 Southwest 27th Street, Miramar, FL 33027. Do not mail cash.

  2. Requesting Party Information

    Please print the required information below.

  3. How would you like to receive your report?

  4. Note

    Requests will be responded to within 10 business days.

  5. Official Use Only

  6. Payment Type

  7. Copy Action

  8. Leave This Blank:

  9. This field is not part of the form submission.