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2. Please ensure that you have included a copy of the requestor's government issued ID. Red, White and Blue Fire Protection District will not release records without proper identification.
4. First Name
5. Last Name
7. Address
9. City
10. State
11. Zip Code
13. Phone Number
14. Email Address
16. Reason for Request
    Please describe the reports you are requesting access to with as much specificity as possible. Specify dates of incidents and other details that will allow Red, White & Blue Fire Protection District to accurately and completely fulfill your request.
18. Specify How You Would Like us to Provide Access
    Please select all that apply and fill out the requested information, where indicated.
20. Please provide me with a copy of the above requested report by mail.

    1. Yes
    2. No

    If yes, fill out address and format in the space provided.
22. Format (paper copy, digital copy on a disc, etc.)
24. Address
26. City
27. State
28. Zip Code
30. Please send a copy of the request report to my email address in a PDF format.

    1. Yes
    2. No

    If yes, including email address in the space provided.
32. Email Address
34. Signature of Requestor
35. Request Date
    Request Date
Leave This Blank:


36. Print Only

* indicates a required field