Mail Requests and Checks To:

Mountain View Fire Department
1000 Villa Street
Mountain View, CA, 94041
Telephone: 650-903-6365

Please include a self-addressed stamped envelope.

General Information
FEE: $6.00 for Fire Incident Reports written by the emergency responders and $8.00 for Fire Investigation Reports written by the Department's Deputy Fire Marshal who determines the cause of the fire if it is not known by emergency responders. If you are not sure if a fire investigation report has been created, please call (650) 903-6851 to inquire. All related fees must be paid before a request can be released. Make check or money order payable to the City of Mountain View.

Medical Incident Reports - Medical information is strictly confidential and cannot be released to anyone other than the patient unless the patient has signed a release of information document authorizing the second party to obtain the medical incident report. The requesting party will be required to present a valid identification. A copy of this identification will be attached to your request for our files. Authorization requirements for medical information release are available upon request.

To receive your report by mail, please enclose a self-addressed stamped envelope. Otherwise, you will be notified when your report is ready for pick up. A RESPONSE CAN TAKE UP TO 10 WORKING DAYS.

Completing This Form
PLEASE PRINT ALL INFORMATION. Please provide the date and the address where the incident occurred. Indicate whether the incident involved a fire, medical assistance, hazardous materials or something other than the three types listed. Print your first, middle and last name. (Name of requesting party). If applicable, print the name of the business or agency your represent and mailing address. If you are requesting a fire incident report, indicate whether you are also requesting a fire investigation report. Please note that fire investigation reports take longer to prepare; therefore, you may want to inquire about its availability before filling out this form. Indicate your relationship with or involvement in the incident as the requesting party. If you represent an insurance company, give the name of your insurance company, the name of the person you represent, and the policy/claim number.

Incident Report Form* (PDF—26K)

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