Department InformationFederal ID Number(Required)Enter Fire Department Federal ID as example: TX-00-000 Be sure to enter leading zerosFire Department Name Department NameDepartment AddressDepartment Address 2Department CityDepartment StateDepartment ZipDepartment Email AddressStatus of Department(Required)Select Department StatusActiveSuspendedDefault Collection FeeAssigned RepSelect NameAlex TownsendAmber ShookCarly BitlerColby ClarkGeoff SmithJennifer HermanyJen SKen Kramershawn mederShawn MederSherry FKaren SmithAssigned Rep Email Department Contact InformationFire Chief First NameFire Chief Last NameChief Phone NumberChief Email Address Additional Department InformationCheck Notification Email(s)Enter the email address(s) to get notification if a check is received of at least $250, enter multiple email address seperated by commas with no spaces: i.e. user1@mail.com,user2@mail.comDepartment NotesDepartment Ordinance InformationDirect Bill Options Direct/Submit Direct Submit - Commercial Direct Submit - Per FD Request Direct Submit - Transient Direct Bill Direct Bill - Commercial Direct Bill - Per FD Request Direct Bill - Transient Ordinance Collection FeeDirect Bill NotesOrdinance NameOrdinance URL