Interventionist & Case Number Request Form

Complete and submit the form below to request an interventionist and/or request a case number.

If you have questions or need assistance with this form, please contact the Arson Division at (844) 689-7882 or SFM.YFSI@Illinois.gov.

* indicates a required field

Requester's Information

Type of Request

First Name

Last Name

Job Title

Phone Number

County of Fire Dept. or Org.

Fire Dept. or Org.

FD Value HIDDEN

FD Hidden

Firesetter & Incident Information

Date of Incident

Ignition Method

Firesetter Gender

Firesetter Age Range

Zip Code where Incident Occurred

County where Incident Occurred

City where incident Occurred

Incident City Value HIDDEN (use to populate a list)

Comments

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