West Covina, CA · Los Angeles County
Request for Incident / EMS Report
This form lets people request a West Covina Fire Department incident or EMS report by providing incident details and information about the person making the request.
What this form is
Use this form to request a fire, vehicle accident, EMS, or other incident report from the West Covina Fire Department. It asks for incident details, the requesting person's contact information, and a signature; EMS requests also require identification, and a representative needs a signed patient release. The form notes per-page copy fees and says to contact the office for the report's page count.
Who needs it
People requesting an incident report, or eligible patients and representatives requesting an EMS report, can use this form.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; a representative requesting a medical report needs a signed patient release, but the form does not require notarization.
How to submit this form
- 1
Download The Form
Download the Incident / EMS Report Request form.
- 2
Complete The Request
Fill in the incident details and requesting party information, then sign the form.
- 3
Gather Required Identification
For an EMS report, provide the identification indicated on the form; a representative needs a signed patient release.
- 4
Submit To The City
Submit the completed form to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Incident / EMS Report Request?
- No. This form is signed without a notary. A representative requesting a medical report needs a signed patient release, but the form does not require notarization.
- How do I submit the Incident / EMS Report Request?
- Submit it to the city department named on the form; check the city website for current contact details.
- What information does the report request form ask for?
- It asks for the incident type, number, date, and location, plus the requesting person's name, phone number, address, and signature. It also includes patient information fields when applicable.
- What should I know when requesting an EMS report?
- The form says EMS reports require identification. Medical reports can be provided to the patient with proper ID or to a representative with a signed release.
Need something notarized?
This Request for Incident / EMS Report doesn’t need a notary — but if you have another West Covina form that does, a commissioned online notary can help.