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2. For submitting public records requests to the City of Winston-Salem

   Please note: The Winston-Salem Fire Department does not inspect individual residences, and only common spaces of multifamily residences.

4. First Name*
5. Last Name*
7. Phone Number*
8. Email Address*
12. Requested Site Address*

    Limit ONE address per request

14. City*
16. What information is being requested?*

    1. Open Fire Code Violations
    2. Presence of Underground Storage Tanks
    3. Historical Address
    4. Other
17. Other information Requested
21. Method to receive report*
    -- Select One --E-mailFax

    Select the desired method to receive report
22. Fax Number*
Leave This Blank:


23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit

* indicates a required field