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E0184 Agreement Number: ODF IRA___ * For Office Use Only *Big Elk Fire, LLC Glenn Earmuff HoxseyResource Provider / Company Accompany Owner(s)320 Latino LnCityEmail AddressPrimary Phone NumberStateZip
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It is a form used to report information about a fire incident that occurred at Big Elk.
Any individual or organization involved in the fire incident at Big Elk is required to file this form.
The form must be completed with accurate information regarding the fire incident at Big Elk.
The purpose is to document and report details about the fire incident at Big Elk for official records.
Details such as date, time, location, cause of the fire, property damage, and any injuries must be reported.
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