Brewster-Southeast Joint Fire District

501 North Main Street
Brewster, NY 10509-1233
845 279-9229
email

Commissioners

John Klosowski Chairman
A. Gerald Schramek Co-Chairman
Kenneth Clair, Jr
Joseph Toscano

Renee Tassani - Secretary
Margaret Miller - Treasurer
Parade

Incident Report Request

Incident Report requests should be addressed and mailed to:
Brewster Southeast Joint Fire District
501 North Main Street
Brewster, NY 10509
Attention: A. Gerald Schramek

HIPAA Request forms must name "Brewster-Southeast Joint Fire District"

(Requests naming "Brewster Fire Department" will not be accepted.)

The request should include:

  1. check payable to the Brewster Southeast Joint Fire District in the amount of $5.00
  2. a self addressed stamped envelope
  3. name of the interested party and the reason for the request
  4. date and approximate time of the incident
  5. place incident occurred
  6. signature of the patient or homeowner
  7. HIPAA form as applicable