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LEWISTON FIRE DEPARTMENT - REQUEST FOR SERVICES

2. CRITERIA FOR ALL REQUESTS

   1. Services are not available during the month of October or the 1st week of any other month
   2. Must request service 2 weeks in advance; all other requests will be denied
   3. Services are available Monday-Friday from 9:00am - 4:00pm
4. Type of Service*
   -- Select One --Station TourFire Extinguisher TrainingSafety EducationVehicle DisplayJuvenile Firesetter CounselingAmbulance or EMT Event Standby

   Select from the drop down then include a complete description in the box below.
6. Provide a detailed description of request
8. Requested Date of Service
   Requested Date of Service
9. Requested Time
   Requested Time
11. Number of Adults
12. Number of Children (If applicable)
13. Age Range of Children
15. Company Name (if applicable)
17. Name
18. Address
20. City
21. State
22. Zip Code
24. Phone Number
25. Fax Number
27. Email Address
29. Notify me by the following

    (Check one or more)

    1. Email
    2. Text
    3. Phone
30. Notification Procedure
    After submitting this form, you will be contacted within 4-5 days by a Lewiston Fire Department Battalion Chief (or designee) to confirm the requested date and time.
Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field