Fire Report

Fire Report Form : Municipal Affairs, Fire Safety

Please complete this Fire Report Form as completely and accurately as possible. The information obtained is used by the Office of the Fire Marshal in its reporting process and for the development of training and education programs. The data is also submitted for use in the Canadian Fire Statistics Database.

All fields displaying an asterisk (*) must be completed for the form to be accepted. Also, please note the time fields are in 24hr format. i.e. 1:00pm = 13:00

For internal use only

Section A

Fire Information
:
Owner Information Insured?
Occupant Information Insured?

Section B:

Mobile Property

Please note mobile property is considered any vehicle, trailer, boat, farm equipment, etc.

Section C:

Origin
Smoke Alarms Present?*
Working?*

Section D

Fire Loss Details

The information related to the "Building Value", "Building Loss" and "Uninsured Loss" are estimates only and will not be used in any way other than general statistics. All specific information provided will be held in accordance with the Freedom of Information and Protection of Privacy Act.

Casualty Information
  Male Female Firefighter
  adult child adult child male female
Injuries
Fatalities
Hospitalization Required?

Section E:

Deputy Fire Marshal
:

:
Additional Information


How do I access my personal information?

Please send all questions or comments relating to this Fire Report Form to: OFM@novascotia.ca