Evacuation Drill Witness request form | West Metro Fire Protection District

Name of Business

Business street address - exact street address

City

Lakewood

Littleton

Morrison

Golden

Wheatridge

Edgewater

Zip Code

Contact Person Name

Contact Person Phone Number

Contact Person Email Address

Preferred Date and Time

Preferred Date - minimum of three weeks

Advanced Notice is Required

Second Choice Date

Preferred Time

10:00 AM

2:00 PM

Other - indicate preferred time in NOTES section at end of form

Has your written evacuation plan been reviewed and approved by West Metro Fire Rescue's Life Safety Division?*

Yes - go ahead and submit your request

No - submit your written plan for approval before you submit a reqeust

How many people will be participating in your evacuation drill? An approximate number is required.

Number of floors in your building that will be participating in the evacuation drill:*

1

2

3

4

5

More than 5

Read and respond: West Metro Fire Rescue sends firefighters to observe a drill. You are responsible for conducting your drill and notifying your alarm company prior to the drill that you are scheduled to conduct an evacuation drill. Do you agree to conduct the drill and notify your alarm company?*

Yes

No

Notes or questions:

Thank you for submitting your request. Your request will be reviewed by West Metro Fire Rescue's Operations Division and someone will respond to your request in 3-5 business days