Requester Email Address
Daytime Telephone Number
Company: (if applicable)
It may take up to ten (10) working days to fulfill your request. You will be notified when the records are available for pick-up.
Description of records sought (record must be described with reasonable specificity)
Address of Incident (If Applicable)
Date of Incident
UFA Case No. (If Applicable)
If representing an insurance company, please answer the following:
I would like to:
I authorize cost of up to $
I understand that Unified Fire Authority charges a fee for copies of records as permitted by UCA 63G-2-203. I understand copies of the records will be provided subject to fees being paid. If costs are greater that the amount I specified, I understand the office will contact me to get my authorization before processing the request.