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City of Bloomington, Indiana

Forms for Public Safety Officials

Fire Tower and Training Center Training Release Form

For more information about our trainings, check out the Public Safety Training Center.

Release, Hold Harmless, and Indemnification Agreement (PDF 64.75 KB)

Forms For Businesses

Confined Space Permit-Required

This form may also apply to residents undertaking DIY Home Renovation Projects

By definition, a permit-required confined space has one or more of these characteristics:

  • Contains or has the potential to contain a hazardous atmosphere;
  • Contains a material with the potential to engulf someone who enters the space;
  • Has an internal configuration that might cause an entrant to be trapped or asphyxiated by inwardly converging walls or by a floor that slopes downward and tapers to a smaller cross-section;
  • and/or Contains any other recognized serious safety or health hazards.

The Bloomington Fire Department requires the Permit Space Entry form to be completed in its entirety prior to entry. Please download the following file and email it to Battalion Chief Stephen Coover (coovers@bloomington.in.gov) and Chief Roger Kerr (kerrr@bloomington.in.gov) preferably 12-24 hours in advance of scheduled entry:

Confined Space General entry checklist and permit (PDF 56.85 KB)

Forms For Residents

Pet Loss Due to Fire

Please accept our sincere regrets on your recent loss. We would like to help your family select a new pet and will waive the adoption fee for one animal.

Please download and email the form to the Animal Shelter, or print it out and mail it to City of Bloomington Animal Shelter at 3410 S. Walnut Street, Bloomington, IN., 47401.

Fire Department Job Shadowing Release Form

A parental release form to allow children to shadow the Fire Department

Parental Release, Hold Harmless, and Indemnification Agreement (PDF 67.80 KB)