Incident Form FieldsetName *Email *Date of Incident *Incident Type FireMVAHazmatOtherPrimary Department *AkronAldenAngolaArmorBellevueBig TreeBlossomBostonBowmansvilleBrantBrightonBuffaloCattaraugus Indian ReservationChaffee-SardiniaCity of TonawandaClarenceClarence CenterCleveland HillColdenCrittendenDepewDoyleEast AmherstEast AuroraEast ConcordEast EdenEast SenecaEdenEggertsvilleEllicott CreekEllwoodEvans CenterFarnhamForksGetzvilleGowandaGrand IslandHamburgHarris HillHighland HoseHillcrestHy-ViewJamison RoadKenilworthKenmoreLackawannaLake Erie BeachLake ShoreLake ViewLancasterLangfordLawtonsMain TransitMarillaMillgroveMortons CornersNewsteadNewton AbbottNorth AmherstNorth BaileyNorth BostonNorth CollinsNorth EvansOrchard ParkPatchinPine HillRapidsReserveRiver RoadScrantonSeneca HoseSheridan ParkSloanSnyderSouth LineSouth WalesSpring BrookSwormvilleTown LineTwin DistrictU-CrestUnionVigilantWales CenterWest FallsWilliamsvilleWinchesterWindomWoodlawnDescription of Incident *Please include approximate time of incident VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank: