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Closing of Vacant Structure

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Street Address *
Incident #*
Date & Time Secured (Start)*
Date & Time Secured (Start)
Date & Time Secured (Start)
Date & Time Secured (End)*
Date & Time Secured (End)
Date & Time Secured (End)
Owners Name
Owners Address
Street, City, State, Zip
Foreclosure*
1. Yes
2. No
Police Search of Structure*
1. Yes
2. No
Condition of Property*
Number of Locks Used *
Padlock Key #
Number of Hasps*
Sheets of Plywood*
Number of 2"x4"x10'*
Number of Screws*
Other Materials
FD Crew/ID #*
Date*
Date

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Closing of Vacant Structure

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