Report Impairment

Submitted by dclewis1 on

Report Life Safety System Impairment

This is a 2 part form. Complete Step 1 (Initial Reporting Form).  You will then have the option to complete Step 2 immediately. You will also receive an email with a link to return and complete Step 2 (Impairment Completion Form).

  • Current Step 1 - Initial Impairment Report
  • Step 2 - Impairment Completion
Indicates required field
Contact Name
Location Address
Type of Impairment
Has the local fire department been notified of this impairment?