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 CommentsYour InformationYour Name* First Last Your Email Your Contact Phone Number(###)###-####PhoneThis field is for validation purposes and should be left unchanged.