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Fire Hazard Complaint Form

  1. Aptos - La Selva Fire District

  2. Use this form to submit a fire hazard complaint to our Community Risk Reduction Division staff. If your concern is an emergency that requires immediate attention, please do not use this form and instead call 9-1-1 immediately. Each complaint will be reviewed and investigated by a Community Risk Reduction Division staff member. You can expect to hear back regarding your complaint within two full business days (excluding holidays and weekends). We appreciate your help in keeping our citizens and community safe!

  3. Fire Hazard Information*

    Please indicate the nature of the fire hazard by checking the appropriate box below:

  4. Please be as specific as possible (include street address, intersection, business name, landmarks, etc. as appropriate).

  5. Contact Information:

    Please provide us with your contact information so that we can follow up with you regarding your fire hazard complaint. Your contact information will be used for follow-up purposes only and we will never share your information.

  6. Leave This Blank:

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