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Fire Safety Inspection Form

Use this form to request Fire Safety Unit Services.

Instructions: Fill out all sections of this form and press the SUBMIT button to send it to the TSTC Police Department.

Type of Service:	If OTHER, specify:

Fill out the following information for drill, inspection, and fire extinguisher class requests:

Requesting Department:	Suggested Date/Time:

Facility:

If you are using this form to report an expended or missing fire extinguisher please provide the building/floor/room information of the extinguisher in the "details" box below. If you are requesting an additional or different type of extinguisher for your area, give location information and reason for the change/addition.

After receiving your form by email we will contact you by phone to confirm arrangements for the service. Please fill in the following so we can contact you:

Name:	Department/Group:

Your Job Title:
Phone Number: E-Mail:

What is the best time to reach you by phone?

Other details regarding your request:

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