Fire Department
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Clark County Fire Department
Custodian of Records
575 E. Flamingo Road, Las Vegas, NV 89119
(702) 455-7322 Fax# (702) 455-7137
 
Incident Request Form
NOTE ! All fields must be filled out. Thank you.

  • Click Submit when done.
Type of Incident     
Date of Incident
(MM/DD/YYYY)   
Time of Incident    
Requested By     
Contact Phone
(xxx-xxx-xxxx)
Contact Fax
(xxx-xxx-xxxx)
Company     
Address   
City   
State   
Zip   
 
Incident Location
(address or cross streets)
     
Street Number     
Street Dir   
Street Name     
Street Type   
Suite   
 
   Pick up the report at:
Clark County Fire Department Administration
575 E. Flamingo Road, Las Vegas, NV 89119.
--Click here to view a map. 
 
   Have the report faxed to the fax number I provided. 
Please note, medical reports cannot be faxed.
 
Purpose of Report Request     
Please provide your e-mail address so we may notify you when the report is ready:
IT MAY TAKE UP TO 30 DAYS TO PROCESS YOUR REQUEST. SUBMITTING DUPLICATE REQUESTS WILL NOT EXPIDITE THE PROCESS.
 
 

 
 
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