Brewster-Southeast Joint Fire District
501 North Main StreetBrewster, NY 10509-1233
845 279-9229
Commissioners
John Klosowski ChairmanA. Gerald Schramek Co-Chairman
Kenneth Clair, Jr
George Durmer
William Ratajack
Moe DeSantis - Secretary
Don Goodwin - Treasurer
Forms
Blank VoucherDesignation of Beneficiary form
Tax Exemption Information
Non-collusive Bidding
Request for Proposals
For payment for services/equipment, a completed Payment Voucher must be submitted with invoice to
Invoice@BSEJFD.comDistrict Policies
Sexual Harassment Policy
Incident Report Request
Incident Report requests should be addressed and mailed or emailed to:
Brewster Southeast Joint Fire District
501 North Main Street
Brewster, NY 10509
Attention: Moe DeSantisÂ
mdesantis@brewsterfiredepartment.org

Attention: Moe DeSantis
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