Extract Fire Report Request

REQUEST FROM SOLICITOR / INSURANCE COMPANY / LOSS ADJUSTER FOR EXTRACT FIRE REPORT

General Guidance for completing the Request Form

Please complete the form below.  This form can be completed electronically, but must be printed off, signed and posted to the following address:

When sending the completed form, a cover letter and cheque for £110.00 should be included.  This £110.00 is an application fee and is not refundable.  Cheques should be made payable to Lancashire Combined Fire Authority.

Guidance for completing the Sections of the Request Form

1. The Company Name required in Section 1 is the name of the Solicitors, Insurance Company or Loss Adjusters making the request.
2. The Company Details required in Section 2 are the details of the Solicitors, Insurance Company or Loss Adjusters making the request.
3. The Company Reference referred to in Section 3 is the Reference that you would like stating in all correspondence between yourselves, and the Fire and Rescue Service.
4. In Section 4, you should record the name of the person / organisation who you are acting on behalf of.*If a third party, please detail this party’s connection with the incident / property.
5. Please make clear if client is the Owner or Occupier, or a third party. *If a third party, please detail this party’s connection with the incident / property.Section 5 can be left blank if not relevant.
6. Section 6 should be completed with the date the incident in question occurred.
7. If this is not the address where the fire originated, ie. is a property damaged by ‘fire spread’, please also state the address at which the fire originated.

Extract fire report request form