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  1. Are You the Occupant or Owner*
  2. Are You an Insurance Company?*

    Please check if you are an insurance company requesting a copy of the fire report for a fire incident resulting in a loss. 

  3. If you are not the owner, please state the reason for the request:

  4. If you are submitting an Open Records Request in accordance with the Georgia Law, please submit your request on agency/department letter head.

  5. Type of Incident*

  6. Leave This Blank:

  7. This field is not part of the form submission.