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Indiana Department of Homeland Security

IDHS > About IDHS > Applications, Forms & Permits >  Notification of Fatality Report Notification of Fatality Report

Arson Investigation

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  • We appreciate your assistance in notifying us if your agency has experienced a fire fatality. It helps us accurately assess the fire fatality situation in Indiana.

Date of Fire

Time of Fire

Incident Address

City

County

Zip Code

Victim Age

Victim Gender

Working Smoke Detectors?
Yes
No

Type

Coroner

Coroner Contact #

Case #

Fire Department

FD Contact #

Investigator

Investigator Contact #

Cause of Fire

Case #

Comments

Did the State Fire Marshal's Office Investigation Section also investigate this incident?
Yes
No