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2. Request for Fire Incident Report - City of La Mesa
   This form is to request Fire Incident Reports only. To request public records or other information, please call 619-667-1355.
4. Payment Information
   The cost for Fire Incident Reports is 10 cents per page, which must be paid before the report is released. Page counts vary. You will be provided a price once we research your request. If you would like the report mailed to you, please send a Self Addressed Stamped Envelope with your request. Please mail to: City of La Mesa Fire Department, 8054 Allison Avenue, La Mesa, CA 91942, Attn: Report Request. Checks should be made payable to City of La Mesa.
6. Your Name
8. Your Address
10. Your Phone Number
11. Your Fax Number
12. Your Email
14. Date of Incident
    If unknown, provide date range
15. Location of Incident
    Please be as specific as possible. If the incident did not occur in our jurisdiction we will do our best to refer you to the appropriate agency to process your request.
17. Customer Type

    1. Involved Party

    1. Insurance Company

    1. Public

    1. Other
19. Payment Method

    1. Check (Payable to City of La Mesa)
    2. Cash
    3. Credit Card (Must pay in person at City Hall)
20. Total Due
    (CITY USE ONLY)
22. Are You Requesting Medical Information?

    1. No
    2. Yes - Ambulance. For ambulance reports, please contact American Medical Response at 800-913-9106.
    3. Yes - Fire Department. Additional information must be provided. Please contact our office at 619-667-1355 or request a form be sent by email. Some requests may require a subpoena.
24. Additional Information or Requests
26. Other Information
    Reports may be redacted to exclude protected and/or confidential information. Please contact the office for information regarding subpoenas and other specialized requests. Please allow up to two weeks for your request to be processed.
Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit Submit and Print

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