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Fire Incident Photo and Video Submission
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This form has been modified since it was saved. Please review all fields before submitting.
This form is meant for the sole purpose of providing the Burnsville Fire Department with photographic or video evidence that may be useful for fire department documentation, investigations and inspections. Do not put yourself in harm’s way to capture a photo or video. Always follow all directions given by authorities (police or fire) such as closure, evacuation and hazard warnings both written and verbal.
First Name
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Last Name
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Email Address
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Best Phone Number to Reach You
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Alternative Phone Number
Date and Time Photos/Videos Were Taken
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Date and Time Photos/Videos Were Taken
Date and Time Photos/Videos Were Taken
Street Address of Incident
Location Specifics
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Please provide any details you may have of the surroundings and vantage point from which the photo/video was taken.
Comments
Terms and Conditions
Any photo(s) or video(s) submitted will become the property of the City of Burnsville. They can be used for fire and criminal investigation, training, City or fire communications or for any other purpose which the City sees fit. I understand that the City may contact me to gather more information in regards to the photo(s) or video(s) that I submit and I agree to provide information to the best of my ability.
Check the box to agree to the Terms and Conditions.
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I agree to the terms and conditions.
Upload Photo/Video
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Acceptable types are: .jpg, .mpg, .mpeg or .mp4.
Upload Photo/Video
Acceptable types are: .jpg, .mpg, .mpeg or .mp4.
Upload Photo/Video
Acceptable types are: .jpg, .mpg, .mpeg or .mp4.
Upload Photo/Video
Acceptable types are: .jpg, .mpg, .mpeg or .mp4.
Upload Photo/Video
Acceptable types are: .jpg, .mpg, .mpeg or .mp4.
Upload Photo/Video
Acceptable types are: .jpg, .mpg, .mpeg or .mp4.
Upload Photo/Video
Acceptable types are: .jpg, .mpg, .mpeg or .mp4.
Upload Photo/Video
Acceptable types are: .jpg, .mpg, .mpeg or .mp4.
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