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Marietta Fire Department - Incident Report Request

  1. Open Records Information

    This form is to request incident reports filed by the Marietta Fire Department.  Open records requests related to environmental studies, historical building or site information, etc., must be submitted through the City Clerk's Office by visiting https://www.mariettaga.gov/569/City-Clerk.

  2. Preferred Method of Delivery?*
  3. Requestor Information
  4. Incident Information for Report

    Fire Incident Reports are subject to open records; however, an emergency medical service record/report will require the patient, legal guardian, or power of attorney to provide photo identification. When a person other than the patient requests an emergency medical record/report, a notarized HIPAA authorization form or court order is required. Copies of emergency medical records/reports must be picked up in person.

  5. The City will respond to this request within five (5) working days.
  6. Do you agree?*
    By clicking "I agree," you agree and acknowledge that 1) your application will not be "Signed" in the sense of a traditional paper document and 2) By signing in this alternate manner, you agree that your "electronic signature" is valid and binding upon you to the same force and effect as a handwritten signature.
  7. Leave This Blank:

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