Public Records Requests

Online Public Records Requests are available by submitting the information listed below. A hard copy is also available by scrolling to the bottom of this page. For questions or more information, please call 253.564.1623.

Public Records Request

This form is designed to online submit a Public Records Request to our administration. Your request will be fulfilled in a timely manner. Should a delay arise, you will be contacted as soon as possible.

Date Requested*
Time Requested

Hour :

Minute
Name of Requestor*
First Last
Organization (if applicable)
Phone*
Address of Incident*
Description of Incident or Record*
Please provide the type of incident or record you're requesting (i.e. house fire, medical records for John Doe, motor vehicle accident, underground tank storage, inspection records, etc.)
Date of Incident
Time of Incident

HH :

MM
Preferred Method of Receipt*
Please choose which method you would like to receive the records requested.
Method of Receipt*
Please include your email address, fax number or mailing address in this field, based on your preferred method of receipt of the records.
File Upload
If documentation is required, please upload it with your request. For example, a signed HIPAA-compliant authorization form and a copy of a patient's ID is required in order to release medical information to a third party requester.
Email
This field is for validation purposes and should be left unchanged.

Public Records Requests are also available by printing this form and submitting it to our office via one of these options:

Via email

Fax
253.564.1629

In person
West Pierce Fire & Rescue Station 31
3631 Drexler Drive W
University Place, WA 98466