Online Public Records Request Form

Online Records Request Form

Please include only one request per form. Do not include multiple addresses or incidents on this form. Please note that during the holiday season there may be slight delays in public record request responses.
Today's Date*

MonthDayYear
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
Company/Business Name
Name of company/business requesting information, if applicable.
Type of Record Request*

Fire Investigation ReportIncident Report (non-EMS)EMS (Medical) Report and/or Billing RecordsInspection/Fire Code ViolationsArchival/Historic Records (NOT including incident reports/photos of any kind)Address History (including inspections, incidents, and/or environmental assessment requests)
Archival records only include all non-incident and non-medical records that the District is required by Oregon law to maintain. If you are looking for an enviromental assessment on a property and need information regarding hazmat spills, fires, or fire code inspections that have occurred at the address, you need to select the Address History option.
The Address History request is for those conducting research on a property that may yield multiple types of records. For example, if you are conducting an enviromental assessment on a property and need information regarding hazmat spills, fires, and/or fire code inspections that have occurred at the address, you would select this option.

Please indicate the date range and specific information pertaining to your request in the Additional Information field. If your request yields multiple results and you would like copies of each record, you will be charged the $20 record request fee for each additional record. We will reach out prior to billing to confirm which records you would like copies of.

Clackamas Fire does not maintain records of above or underground storage tanks.
If you are unsure what type of request to submit, please review the descriptions listed on the Public Records Request website, or call our Administration Office at 503-742-2600.

What is your relationship to the incident/inspection you are requesting records for? *
Approximate Date of Inspection or Incident*

MonthDayYear
Approximate Time

Hour Minutes

AM/PM Option
Business Name
Name of the business you're requesting inspection and fire code violation records for.
If you're unsure whether or not the address you're requesting information for falls within Clackamas Fire's service area, please go to this website before submitting your request. Once you've searched for the address, click on "Public Safety" to see the nearest fire station information. If you're still unsure, you can always call our Administration Office at 503-742-2600.
Location of Incident/Inspection*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Person(s) Involved*
Please provide names of any involved parties. This will help us locate the correct record for you.
Additional Information*
Please provide any additional information regarding the incident/inspection that may be helpful in locating the record for you. If you are requesting property information, please detail what type of information you are looking for.
Please upload the signed medical release form for this request. To download a blank copy of the medical release form, please go here.

If you are requesting your own medical records, please upload a copy of your driver's license or other state-issued identification.

If you are a legal guardian or have Power of Attorney, please upload proof of POA or guardianship.

More information about our medical records release process is available on our website.
Medical Release Form or Identification*

Cancelof

Description of records you are requesting: *
Please describe in detail what types of records you are looking for including a time range. CFD staff may reach out with questions based on the information provided here.
Preferred Method of Delivery*

EmailMailPick up from CFD1 Administration OfficeFax
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Fax Number
Please enter a valid fax number.
Archival record requests are billed based on time, materials of requested service, and overhead expenses (TMO). Cost calculations may include direct costs (transportation, personnel, archival retrieval/restoring fees for off-site storage, and any miscellaneous supplies and services) and indirect costs (administrative overhead and facility costs).
Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

If your request results in multiple incident or inspection records, additional record request fees may be invoiced to you.
You will be contacted by CFD1 staff when your request is ready to be picked up from our Administration Office, which is located at 11300 SE Fuller Road, Milwaukie, Oregon, 97222.
The requested report will be emailed to the email address you provided on the first page of this form. If you'd like the report to be emailed to an alternative email address, please provide that information in the Additional Information field on the previous page.
Should be Empty:

Online Records Request Form

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