Nebraska State Fire Marshal - Forms

Forms – Miscellaneous

Forms with a PDF format require Adobe Acrobat Reader to view the files. Forms with a format of DOC (Word), DOT (Word template) require Microsoft Office 2000 or higher to view. These files, except where the format is indicated as Online, must be saved to your hard drive prior to completing them. To download these files, right click on the link and select “Save Target as…” Specify the Desktop or another directory on your hard drive, such as My Documents, where you want to save the file. Unless indicated otherwise, forms that require fees, signatures and/or other documentation must be mailed to the State Fire Marshal’s Office at 246 South 14^th Street, Lincoln, NE 68508-1804. If these forms are emailed it will delay processing.

Fire Training Burn Permits

Live Fire Training Checklist
Format: PDF File size: 19 KB
Posted: 02/07/2007
Structure Burn Permit
Format: PDF File size: 87 KB
Posted: 7/21/2004

The local fire chief must complete this permit application and submit it to this office for approval. It is a three-page form. The first two pages are the same – one will be kept by this office with the affidavit and one will be returned to the fire chief after the application is approved or denied. The third page is an affidavit that requires the notarized signature of the property owner(s).
Demolition Notification Form
Format: PDF File size: 11 KB
Posted: 02/07/2007

Fire Reports

Request for Fire Report
Format: PDF File size: 59 KB
Posted: 12/1/2005
Format: DOT File size: 39 KB
Posted: 12/1/2005

This form is to be used to request a copy of a fire or incident investigation report. Not all requests may be granted depending on the purpose for the request and the nature of the report. The agency legal counsel reviews all requests and determines whether they may be released. The DOT version may be emailed to Nicki as an attachment. Before completing the form, click on File – Save As and save the document under a different name. After completion, save the document, then click on File – Send To – Mail Recipient (as attachment).

Schools

Fire Drill Report
Format: PDF File sizes: 89 KB
Posted: 06/04/2007
Format: DOT File sizes: 77 KB
Posted: 06/04/2007

All schools must complete this form to report the fire drills conducted during the school year. Fire drills should be conducted in accordance with Nebraska Fire Safety Codes. The DOT version may be emailed as an attachment to the appropriate District Office covering the area the school is located.

Page last updated November 14, 2007



MENU	Forms – Miscellaneous Forms with a PDF format require Adobe Acrobat Reader to view the files. Forms with a format of DOC (Word), DOT (Word template) require Microsoft Office 2000 or higher to view. These files, except where the format is indicated as Online, must be saved to your hard drive prior to completing them. To download these files, right click on the link and select “Save Target as…” Specify the Desktop or another directory on your hard drive, such as My Documents, where you want to save the file. Unless indicated otherwise, forms that require fees, signatures and/or other documentation must be mailed to the State Fire Marshal’s Office at 246 South 14^th Street, Lincoln, NE 68508-1804. If these forms are emailed it will delay processing. Fire Training Burn Permits Live Fire Training Checklist Format: PDF File size: 19 KB Posted: 02/07/2007 Structure Burn Permit Format: PDF File size: 87 KB Posted: 7/21/2004 The local fire chief must complete this permit application and submit it to this office for approval. It is a three-page form. The first two pages are the same – one will be kept by this office with the affidavit and one will be returned to the fire chief after the application is approved or denied. The third page is an affidavit that requires the notarized signature of the property owner(s). Demolition Notification Form Format: PDF File size: 11 KB Posted: 02/07/2007 Fire Reports Request for Fire Report Format: PDF File size: 59 KB Posted: 12/1/2005 Format: DOT File size: 39 KB Posted: 12/1/2005 This form is to be used to request a copy of a fire or incident investigation report. Not all requests may be granted depending on the purpose for the request and the nature of the report. The agency legal counsel reviews all requests and determines whether they may be released. The DOT version may be emailed to Nicki as an attachment. Before completing the form, click on File – Save As and save the document under a different name. After completion, save the document, then click on File – Send To – Mail Recipient (as attachment). Schools Fire Drill Report Format: PDF File sizes: 89 KB Posted: 06/04/2007 Format: DOT File sizes: 77 KB Posted: 06/04/2007 All schools must complete this form to report the fire drills conducted during the school year. Fire drills should be conducted in accordance with Nebraska Fire Safety Codes. The DOT version may be emailed as an attachment to the appropriate District Office covering the area the school is located. Page last updated November 14, 2007
246 South 14th Street; Lincoln, NE 68508-1804; Phone: (402) 471-2027; Fax: (402) 471-3118