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State of Illinois
Pat Quinn, Governor

Fire Prevention Request

 

If information is unknown for a required field please enter "n/a" or "unknown"

Fields marked with required are required

Format mm/dd/yyyy - Example: 01/01/2009
Not Required for New Licenses
Licensing Representative
Format (999) 999-9999 - Examples: 123-123-1234 or (123) 123-1234
Format xxxx@xxxxx.xxx - Example: testemail@test.com
Location of Facility Either Facility Name or Facility Owner Name must be Entered
Format 99999-9999 - Examples: 62704 or 62704-12 or 62704-1234
Format (999) 999-9999 - Examples: 123-123-1234 or (123) 123-1234
Format (999) 999-9999 - Examples: 123-123-1234 or (123) 123-1234
Format (999) 999-9999 - Examples: 123-123-1234 or (123) 123-1234
Format xxxx@xxxxx.xxx - Example: testemail@test.com

Clicking Send, sends this request to the selected SFM Regional Office.


This request form is intended for use by state agencies that require fire clearance as a licensing requirement. It is also intended to be used by fire departments (local jurisdictions) that require the assistance of an OSFM inspector.

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