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2. General Fire Inspection Request
4. Street Number*
5. Street Name*
6. Street Type*
   -- Select One --RoadStreetLanePlaceBlvdMewsAlley
8. Apt. #
9. City*
10. State*
11. Zip Code*
13. Type of Occupancy*
14. Name of Occupancy, if applicable
16. Reason for Request*
20. Requesting Party Information
22. First Name*
23. Last Name*
25. Phone Number*
26. Email*
28. Address information if different from Occupancy
30. Address2
32. City
33. State
34. Zip
38. Urgency of Inspection
40. Level of Urgency

    1. High (1st available day after request is submitted, please specify)
    2. Medium (within the next 7 business days)
    3. Low (within the next 30 days or greater)
41. Available date
45. Preferred method to receive inspection report and pay inspection fee
47. Delivery Method

    1. Via email (PDF)
    2. Via US Mail
49. The Fire Marshal's Office will contact you to schedule the inspection and will provide instructions for processing the associated inspection fee.
51. If there are any questions about your request, you may contact the Office of the Fire Marshal at 301-600-1479.
Leave This Blank:


53. 1. Receive an email copy of this form.
54. Email address

    This field is not part of the form submission.

55. Submit

* indicates a required field