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2. Please enter the following information so we may better serve you:
4. First Name*
5. Last Name*
7. Address1
9. Address2
11. City
12. State
13. Zip
15. If your request requires a response from the West Valley City Fire Department, please provide both a phone number and an email address for a quicker response.
17. Phone Number
18. Email Address*
20. Comments/Questions*
22. Please note, this form will be submitted to the West Valley City Fire Department via email and you will receive a response as soon as possible. If your request requires immediate assistance, please call our offices at 801-963-3336 during regular office hours. West Valley City Fire Department offices are open Monday through Thursday, 7:00 a.m. to 6:00 p.m. and are closed most holidays.
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24. 1. Receive an email copy of this form.
25. Email address

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