Brewster-Southeast Joint Fire District
501 North Main Street
Brewster, NY 10509-1233
845 279-9229
Commissioners
John Klosowski Chairman
A. Gerald Schramek Co-Chairman
Kenneth Clair, Jr
Martin P. Miller
George Durmer
Mia Tagliafierro - Secretary
Don Goodwin - Treasurer
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:
- check payable to the Brewster Southeast Joint Fire District in the amount of $5.00
- a self addressed stamped envelope
- name of the interested party and the reason for the request
- date and approximate time of the incident
- place incident occurred
- signature of the patient or homeowner
- HIPAA form as applicable