Report a Firefighter Death | NCSFA

Use the form below to report a non-line-of-duty death for an active or retired firefighter.

If you need to report a line of duty death, please contact our office directly at 1-888-546-2732.

Name of Deceased*
First Last
Fire Department of Deceased
Date of Death
MM slash DD slash YYYY
Comments
Your Information
Your Name*
First Last
Your Email
Your Contact Phone Number
(###)###-####
Phone
This field is for validation purposes and should be left unchanged.