Union Grove – Yorkville Fire Department
Division of Fire Inspection
700 Main Street, Union Grove WI 53182
(262) 878-4181

Verification of Compliance

This on-line form may be used when you have received a Fire Inspection Report that identifies violations that need to be corrected.  The compliance date listed on your fire inspection report identifies the date in which the listed violations must be corrected.   Please complete the below form when the identified violations have been corrected.  Should you need additional assistance regarding this matter or need additional time in which to correct the listed violations, please contact the Division of Fire Inspection at the above number.  Thank you for your cooperation in making the Village of Union Grove and the Village of Yorkville fire safe communities.

 

Please complete this form when the identified violations have been corrected.

    By checking this box you certify that all violations have been corrected.

    All Violations Corrected

    Business Name

    Business Address

    Select Your City, State and Zipcode

    Business Telephone #

    Your Email Address

    By entering your name and date your certify that the violations have been corrected.

    Your Full Name

    Date

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    If you have any further questions about your fire prevention inspection, or if you run into any delays or problems with compliance, and additional time is needed, please do not hesitate to contact us and we will do what we can to assist you.