Required fields are marked with asterisks (*)

Request for Emergency Response Records

Emergency Response Records contain the details of a fire or other emergency.

Emergency Response Records from within the past two-year period cost $150 plus HST and archival reports (older than two years) cost $225 plus HST. Once we receive your request, staff will determine the cost and contact you for payment. The records will be provided within 30 days.

For more information, please contact the fire@clarington.net.

First name:

Single/Last name

Address

Town/Hamlet

Postal code

Email address:

Phone number

Company/Organization (if applicable)

How would you like us to contact you?

Regular mail

How would you like to receive the information?

Electronic copies

Paper copies (additional fees may apply)

Request details

Type of incident

Incident number (if known)

Property address (if applicable)

Are you the owner of this property?

Yes

Date of incident

Timeframe (based on the incident date)

Within the last two years

More than two years ago

Description of request

This form may contain personal information as defined under the Municipal Freedom of Information and Protection of Privacy Act. This information is collected under the legal authority of the Municipal Act, 2001, S.O. 2001 c.25, as amended. This information will be used and maintained by the Municipality of Clarington to respond to the Routine Disclosure of Records Request. Questions regarding this collection may be directed to the Municipality’s Municipal Clerk, clerks@clarington.net or 905-623-3379.

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Request for Emergency Response Records

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