Fire Casualty Report

*** Must be sent within 24 hours ***

Please Note:

  1. Fire Agencies in Oregon are required to submit this report on all deaths or serious injuries within 24 hours.
  2. For questions about submitting this form contact the Analytics & Intelligence Unit at 503-934-8250, 877-588-8787 (toll free) or OSFM.DATA@osfm.oregon.gov.
  3. A complete NFIRS Fire Report for this victim must also be submitted into the state repository.

The agency responsible for entering the required NFIRS Fire Report for this victim.

Deputy State Fire Marshal Response*

This NFI report number format should follow this example: YYYYInitialsreportnumber (YYYYABC123)

Phone

Incident Information

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Victim Information

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First, Middle and Last Name

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MM/DD/YYYY

**To submit additional fire victims related to this incident**

After you click the submit button you will recieve a confirmation message popup with Success! We've captured your response and instructions to submit additional fire victim's information.

**If you need to submit additional fire victim's information related to this incident, please click your browsers back button to repeat this process.


Note: If you will need to submit an update you will want to check the "Send me a copy of my responses" checkbox.