MVA & Fire Incident Report Form

Records regarding a fire, motor vehicle accident, or other emergency incident to which the City of Port Coquitlam Fire Service responded are available upon request for a fee.

MVA & Fire Incident Report Form
If you are requesting more than one report, you must fill out another form.

Incident Details

You must fill this section out so that the City can find the appropriate record. If the information provided is not correct or too broad, you may be charged additional fees for the extra time spent processing your request.
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Maximum upload size: 134.22MB
Sending

 

Authorization

If you are requesting access to another person’s personal information, an Authorization to Release must be submitted with the Incident Request Form. Otherwise, personal information will be severed from all records provided to you in accordance with Section 22 of the Freedom of Information and Protection of Privacy Act. If you use your own authorization to release form, it must be made out to the City of Port Coquitlam with a recent date and signature or it will be returned for correction.

Payment