You must have JavaScript enabled to use this form. If this inspection request deals with a situation that is posing an immediate risk or harm to persons or property, CALL 911. Date Which municipality are you from? North Middlesex Middlesex Centre Thames Centre Contact Information Name Company Email Phone Address City/Town Province ZIP/Postal Code Subject Property Information REQUIRED if the property to be inspected is at a different location than that listed above. Name of Owner Address City/Town Reason for Inspection What is the reason you are requesting a fire inspection? Leave this field blank
