Forms

Briaroaks Fire Department

Report Request

This is a request for a copy of a fire or incident report from the Briaroaks Fire Department. Please ensure you have the exact date and address in order for the request to be processed without delays.

Your Information
Incident Information
If not known, leave blank. For example: 5:00 PM
If you chose Other above.
Please include street # and street name, i.e. 123 Oak Lane. If the incident did not happen at a specific address, include the name of the street or the crossroads of the intersection.
If you chose Other above.
Questions or Comments
I understand this is a legal representation of my signature.

HIPAA NOTICE

Please note that to ensure compliance with the privacy standards of the Health Insurance Portability and Accountability Act of 1996, (HIPAA), medical records cannot be delivered by electronic mail transmission (e-mail). Patient information will not be disclosed to anyone without appropriate authorization. Appropriate authorization includes: written request directly from the patient and proof of identity, authorization, subpoena, or court order. For more information on obtaining medical incident reports, please call (817) 295-9539.

WE RESERVE THE RIGHT TO CHARGE FOR COPIES OF REPORTS.

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Close Your Door Before Bed
Keeping your bedroom door closed while you sleep can hold back flames and toxic smoke for several minutes, giving you critical extra time to escape. A closed door can mean the difference between a survivable and unsurvivable room temperature during a house fire.
Two Ways Out of Every Room
Every family member should know at least two ways out of every room in the house in case one exit is blocked by fire. Practice your home escape plan at least twice a year with everyone in the household, including children. Pick a meeting spot outside — like a mailbox or tree — so everyone can be accounted for.