Fire Fatality Report

Arkansas Division of
Emergency Management

Home > Emergency Management > ADEM > State Fire Marshal’s Office > Fire Fatality Report

ADEM – Fire Fatality Report

Fire Department:(Required)

County:(Required)

Incident Number:(Required)

Incident Date:(Required)

Incident Address:(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Name, Gender, Age, and Date of Death of Victim(s):(Required)

Last Name, First Name; Gender; Age; Date of Death / Example: Doe, John; Male; 42; 01/20/2026

Cause of Fire:(Required)

Cause of Death:(Required)

Estimate Incident Dollars Loss:(Required)

Smoke Detectors Present:(Required)

Yes

Unknown

Fire Investigator(Required)

Submitter Email Address(Required)

Notes

Contact ADEM

Building 9501
Camp Joseph T. Robinson
North Little Rock, AR 72199
501-683-6700
Contact Form

Helpful ADEM links

Arkansas Business Emergency Listing Registration (ABEL)

National Incident Management System (NIMS)

WebEOC