Fire Inspection Compliance Form

Please indicate the status of your fire inspection below
Click here to open the date picker
I hereby affirm under penalties of perjury that the foregoing representations are true:
Email any attachments to ACampbell@greensburg.in.gov
Be sure to place the business name or Reference Number in the Title of the Email
Name of Person Submitting Form:
Electronic Signature. The parties acknowledge and agree that this Fire Inspection Compliance Form may be executed by electronic signature, which shall be considered as an original signature for all purposes and shall have the same force and effect as an original signature. Without limitation, “electronic signature” shall include faxed versions of an original signature or electronically scanned and transmitted versions (e.g., via pdf) of an original signature.