Incident/Investigation Report Request Form

Your Request, Our Responsibility

Access Official Reports with Transparency and Care

Use the form below to request a copy of a fire incident or investigative report from the Bluffton Township Fire District. Please note that reports may take up to two weeks to process, and certain information may be redacted to comply with applicable laws and regulations, including HIPAA. By submitting this request, you acknowledge and agree to the terms detailed at the bottom of this page.

Select the Type of Information You’re Requesting:(Required)

Other Report Requested(Required)

Incident Information

Type of Incident(Required)

Other Incident Type(Required)

Date of Incident(Required)

Do You Know the Incident Address?(Required)

Yes

Address of Incident(Required)

Please Provide Details of Incident Location(Required)

Example: Intersection, or Description of Location

Request Specifics(Required)

Please be as specific as possible with your request. Example: Include district, map, parcel number, street address, name, project title, etc.

Upload Files That May Assist us With your FOIA Request

Drop files here or

Max. file size: 50 MB.

Requester Information

Name(Required)

Phone Number(Required)

Fax Number

Email Address(Required)

Address

Report Disposition

I Request That This Report Be:

Hold for pickup at BTFD Fire HQ - 357 Fording Island Road

Email to Email Address Provided (Emailed reports containing sensitive / protected information may be encrypted.)

Mail to Mailing Address Provided

Mail via Certified Mail to Mailing Address Provided (An up-front fee will be charged to recoup USPS Certified Mail service charges.)

FAX to the FAX Number Provided

Consent Acknowledgment(Required)

I acknowledge that I have read and understand the terms outlined below regarding the release of incident and/or medical reports. I understand that certain information may be redacted in accordance with applicable Federal and State regulations, including HIPAA. I consent to the processing of this request under these terms.

1. I hereby request a copy of the above referenced report for the incident described above.
2. I understand that, due to review and scheduling issues and as well as to insure accuracy of the report, it may take up to two (2) weeks for the report to be made ready for release. Certain reports, such as reports of an investigative nature, may take many months to complete and a copy of said report will not be available until such a time as the report is complete and finalized.
3. I understand that, in accordance with Federal and State Regulations, certain information of a sensitive nature which may be contained in incident or investigative reports, such as description of crime scenes, results of laboratory tests, identification and statements of witnesses, or any other information of like type which may tend to compromise or impede an on-going investigation or prosecution may be redacted or removed from all Fire Incident / Investigative and/or Medical (EMS) Reports maintained by this organization which have been prepared for release to the public.
4. I understand that, in accordance with Federal Regulations under the Health Insurance Portability and Accountability Act of 1996 (HIPAA, Title II), all protected medical information (as well as personal identifying information of a nature where the identity of a protected individual may be surmised) of any one or more individual(s) referenced in any report for which the Bluffton Township Fire District has not received a properly executed medical release statement (or its equivalent), will be redacted or removed from all Fire Incident / Investigative and/or Medical (EMS) Reports maintained by this organization which have been prepared for release to the public.

Signature(Required)

Date Requested(Required)

Request a Copy of a Fire or Investigation Report

Your Request, Our Responsibility

Access Official Reports with Transparency and Care

Incident Information

Requester Information

Report Disposition