The Schaumburg Fire Department maintains records of all fire and medical incidents that occur within the Village of Schaumburg. Should you need a copy of an incident you were directly involved in, please choose the appropriate form to complete.

• Medical or Ambulance Report Ambulance Release Form
• Fire Incident Report Request Form

Blank forms are also available at Fire Station 54 located at 1601 N Roselle Rd. Schaumburg, IL. 60195

All completed forms need to be returned in person to:

Fire Station 54
1601 N. Roselle Rd.,Schaumburg,IL. 60195

Ambulance Charges:

Basic Life Support (BLS)

• Resident: $381
• Non-Resident: $657

Advanced Life Support (ALS)

• Resident: $453
• Non-Resident: $806

Advanced Life Support (ALS2)

• Resident: $655
• Non-Resident: $944

In addition to the base fee above a mileage rate of $7.46/mile shall apply.

During any 12-month consecutive period any "Non-Transport Service Charge": First 10 responses at no charge. Thereafter:$100 at the 11th response; $250 at the 12th response; $325 for the 13th response and thereafter

Reminder:

You will be required to provide personal identification. For further information or any questions you may have, please contact the Schaumburg Fire Department at 847-885-6300