"Our Mission: We, the El Dorado Hills Fire Department, exist to serve and protect the Community through emergency management."

INCIDENT REPORT REQUEST FORM

Incident reports are available to those affiliated with the incident for a fee of $20.00. Please complete this request form below.  If you have any other questions, please contact the Administrative Office at (916) 933-6623. 

*Note: If you are trying to request a Patient Care Report, you will need to contact El Dorado County EMSA as we do not retain these records.


CONTACT INFORMATION

Name:*
Organization:*
Phone:*
-
E-mail:*
Address:*
Affiliation to Incident:*
Method of Delivery:*

INCIDENT DETAILS

Date of Incident:*
Time of Incident:*
 : 
Location of Incident:*
Type of Incident:*
Please describe briefly:
Incident # if known:
Additional Comments:

PAYMENT

The fee for an incident report is $20.00 per our Fee Schedule. Payment can be made via PayPal or by check. Please select one of the payment methods below.

Select Payment Method:

*Paying via PayPal: you will be redirected to PayPal's website after you submit this form. You will be charged a 3% processing fee.

*Paying by check: your report will not be processed until payment is received.  Make checks payable to El Dorado Hills Fire Department and send to EDHFD Re: Incident Report Request, 1050 Wilson Blvd., El Dorado Hills, CA 95762.

Please allow 10 business days for processing once payment is received.

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