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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.

    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