Requests for Incident Reports

Note: You are about to fill out a form to request one or more reports from MCFRS Records. If you prefer not to use this on-line form the same information is available on a webpage as regular text as an alternative for people with disabilities. Also, note that the form below works best in Google Chrome.

Our goal is to respond within thirty (30) days receipt of all requests that comply with the requirements.

Please direct any questions about requests to:

Montgomery County Fire and Rescue Service
Human Resource
Attention: Record Custodian
100 Edison Park Drive, 2nd Floor
Gaithersburg, MD 20878
FRS.RecordsCustodian@montgomerycountymd.gov
240-777-2418

Billing Information

To request a copy of an EMS bill for transport, please contact our billing contractor, Optum Health:

Phone: 866-631-3116
Fax: 937-291-2971
E-Mail: emsattorneyrequests@changehealthcare.com
USPS: 4720 Salisbury Rd., Ste 121, Jacksonville, FL 32256

Note: If the incident occurred prior to January 1, 2013 there will be no bill for transport.

Incident Report Request Form