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Marietta Fire Dept. - Incident Report Request

  1. Preferred Method of Delivery?*

  2. Requestor Information

  3. Incident Information for Report

  4. The City will respond to this request withing five (5) working days.

  5. 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.

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