Fire Department Pre-Plan Questionnaire - Fleetwood Insurance Group

Fire Department Pre-Plan Questionnaire

Insured's Name

Insured's Address

Insured's Address Distance To Fire Hydrant

Primary responding fire department:

Name

ISO rating

Volunteer

Staffed 24/7

Other (please specify)

The listed home is located _______ miles from the nearest fire department and has limited accessible water for fire suppression. To minimize the loss that could result from a fire, the Insurance Company requests that the local fire department inspect the property so they can respond with adequate equipment, personnel and water supplies, and develop a strategy to efficiently fight a fire at the home.

Distance

Which fire department(s) will respond to the first call?

How much equipment and personnel will be needed?

How will the fire department transport water to the house?

How much water will the fire department bring to the property on the first call?

What is the best source of additional water and where is it located in relation to the house?

If the best source of additional water is not a hydrant, is the fire department able to pump water from this source or will they shuttle water to the home?

Will additional fire departments or equipment be needed on the first call?

Is the home address readily visible?

Is the entrance to the property gated?

If so, does the fire department have an access code?

Does the fire department have recommendations to improve access to the home?

Please note that coverage is not bound or altered unless confirmation is received from an agent. You also agree to release us from any liability if this information is accidentally viewed by unauthorized others. We will only use this information for insurance quoting purposes.