Resident report - fire hazard

Resident Wildfire Hazard Reporting Form

This form is for residents to report any fire concerns or hazards that they observe in Strathcona County.

Personal information is collected under the authority of section 33(c) of the Freedom of Information and Protection of Privacy Act and will be used to manage and administer Strathcona County's Fire Prevention Program. If you have questions regarding the collection, use or disclosure of this information please contact the Community Safety Education Coordinator at 780-416-7215.

1. When did you observe this hazard? Please indicate by clicking on calendar icon and selecting date. *This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar

2. Where? Please enter as much detail about the location as you can (e.g. the full address, street name, park name, or nearest cross streets)

Address:

If you don't know the specific address, please describe which area of Strathcona County:

3. You would like to report a hazard involving:

Please enter an 'other' value for this selection.

4. Please provide additional details about your concern

5. PictureIf you have a picture of the problem or concern, please upload it.

File: {{filename}} delete

6. Contact information *This question is required.

Name *This question is required.

How would you like to be contacted? *This question is required.

Please enter an 'other' value for this selection.
Please enter an 'other' value for this selection.

By submitting this survey I am agreeing to submit my personal information to Strathcona County for purposes of contacting about this concern only. *This question is required.

I agree