Tayside Fire & Rescue
Tayside Fire & Rescue

Online Referral Form

If you have any concerns about the firesetting behaviour of someone you know, please complete the following form.  The information you provide on this form is confidential and will not be disclosed without your consent, except as permitted by statute.

Personal data will be processed in line with the Data Protection Act 1998.

Please fill in all fields.

Forenames
Surname
Address
Town
Post Code
Telephone
Mobile
Email
How old is the child?
Gender of Child
Male
Female
Are you the child's...
If 'Other', please state the relationship
Briefly describe the kind of behaviour that you are concerned about.
Permission must be given for Tayside Fire and Rescue to visit the child. Please mark if you give consent.
Yes
No