Home › Safety Form test Safety Complaint Form If this is an emergency complaint/concern, please contact the SFD Health & Safety Division immediately at 206-233-5154. Your Name(Required) Email(Required) Assignment(Required) Shift(Required) Date you first noticed a problem(Required) MM slash DD slash YYYY Phone(Required)Have you discussed your safety concern/complaint with your Company Officer?(Required) Yes No Officer's Name Have you discussed your safety concern/complaint with your Company and/or Station Captain?(Required) Yes No Captain's Name Have you discussed your safety concern/complaint with your Battalion Chief?(Required) Yes No Battalion Chief's Name Have you discussed your safety concern/complaint with the Health & Safety Division?(Required) Yes No Health & Safety Division Contact Please describe in as much detail as possible how this is affecting Fire Department Safety(Required)Recaptcha