Fire Department Fees

Use this form when you are directed to pay a Fire Department fee, i.e. Youth Fire Setters Program. You will need the ticket number and ticket amount we provided you.

First Name

Last Name

Phone

Email

Applicant Address

Address Line

Address Line 2

City

State Select a State… AK AL AR AS AZ CA CO CT DC DE FL FM GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MP MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY

Zip

Ticket #

Fee Amount

$

The amount we requested when you were issued a ticket.

Service Fee

$

If paying with a credit/debit card, a 3.15% service fee will be added. No service fee will be added for ACH/eCheck payments.

Grand Total

$

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