State Fire Marshal

   

2009
IDAHO STATE FIRE MARSHAL
FIRE DEPARTMENT SURVEY

NAME OF FIRE DEPT:  FDID#:

FIRE CHIEF:

E-MAIL ADDRESS:

STATION PHONE #: ALTERNATE PHONE#:

      CELL PHONE #: FAX#:



PHYSICAL ADDRESS OF MAIN STATION:         MAILING ADDRESS OF MAIN STATION:
ADDRESS:     ADDRESS:
CITY:  ZIP:      CITY:  ZIP:
COUNTY:      COUNTY:


ESTIMATED POPULATION PROTECTED:   # OF STATIONS IN JURISDICTION:

MAIN SOURCE OF FUNDING:
  TAX BASE   SUBSCRIPTION DUES   GRANTS   FUNDRAISERS   DONATIONS
  OTHER  

TYPE OF FIRE DEPARTMENT:
  CITY   RURAL   WILDLAND   CITY/RURAL COMBO  
  OTHER  

FIRE DEPARTMENT STAFF: (PLEASE INPUT THE NUMBER OF FIREFIGHTERS FOR EACH CATEGORY)
  CAREER:   VOLUNTEERS: PAID PER CALL
NO PAY PER CALL

STATIONS' IFIRS CONTACT INFORMATION:
  NAME OF CONTACT:
  E-MAIL ADDRESS:
  PHONE #:   FAX #:

FIRE DEPARTMENT REPORTING INCIDENTS? YES     NO

IF YES, TYPE OF SOFTWARE:

WHAT CAN WE DO TO HELP YOU WITH YOUR REPORTING EFFORTS?