REQUEST A FREE FIRESMART ASSESSMENT

Please fill out the electronic request form below to make a request for a free FireSmart Assessment of your property.

<form-template>
	<fields>
		<field type="date" required="true" label="Date" description="Enter today's date." class="form-control calendar" name="date-1638477882787"></field>
		<field type="textarea" required="true" label="First and Last Name" description="Please include your full name for our records." class="form-control text-area" name="textarea-1638478009500"></field>
		<field type="textarea" required="true" label="Contact Phone Number" description="A phone number we can contact your during regular business hours." class="form-control text-area" name="textarea-1638478074677"></field>
		<field type="textarea" required="true" label="Physical Address" description="This should be the long legal address number on the green addressing sign." class="form-control text-area" name="textarea-1638478111049"></field>
		<field type="textarea" required="true" label="Size of Property" description="In acres or hectares." class="form-control text-area" name="textarea-1638478174503"></field>
		<field type="textarea" required="true" label="E-mail Address" class="form-control text-area" name="textarea-1638478216582"></field>
		<field type="paragraph" subtype="p" label="This personal information is collected under the authority of Section 33(c) of the Freedom of Information and Protection of Privacy Act, RSA 2000, F25, for the purpose of requesting a Fire Safety Assessment. If you have any questions regarding the collection and use of your personal information, please contact the County’s FOIP Coordinator at 780-623-1747." class="paragraph"></field>
	</fields>
</form-template>

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Protective Services REQUEST A FREE FIRESMART ASSESSMENT

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REQUEST A FREE FIRESMART ASSESSMENT

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