If you are the Property Owner, you may request a copy of your fire report.

Instructions

1. Complete the form: Fire Incident Report Request (PDF)
2. Copy of your valid driver's license
3. Drop off, mail or fax the completed form and documentation to the Maplewood Fire Department at:
   Maplewood EMS
   Attention Medical Record
   1955 Clarence Street
   Maplewood, MN 55109

Fax: 651-249-2809

A signed authorization is required in order to release private health information.

Instructions

Complete the form: Authorization for Release of Protected Health Information (PDF)

1. Notarized signature is Required
2. Copy of your valid driver's license
3. Drop off, mail or fax the completed form and documentation to the Maplewood Fire Department at:
   Maplewood EMS
   Attention Medical Record
   1955 Clarence Street
   Maplewood, MN 55109

Fax: 651-249-2809

If you are a family member, an attorney or an insurance claims agent, then you are a third-party requestor. A signed Minnesota Standard Consent Form is required in order to release any private health information.

Note: Any stand-alone signed authorization of release form from your office will not be sufficient, and your request will be denied.

Instructions

1. Required: Complete the form Minnesota Standard Consent Form (PDF).
2. Drop off, mail or fax the completed form and documentation to the Maplewood Fire Department at:
   Maplewood EMS
   Attention Medical Record
   1955 Clarence Street
   Maplewood, MN 55109

Fax:  651-249-2809