Prototype intake form (separate from the signed-in MIS). Submissions with a matched premises record appear under Incoming; unmatched addresses under Awaiting premises. Open CPFSI prototype

Crown Premises' Incident Notification (CPIN)

Report a fire-related incident at Crown premises to CPFSI. Fire and rescue services should complete this form at the earliest opportunity.

* denotes a required field

Incident details

Incident number

Date of incident

Time of incident

Fire and Rescue Service

Premises

Select the Crown premises if it appears in the register. If not listed, leave blank and enter the address below.

Address of premises

Premises not in system or not found

If you cannot find the premises above, enter the full address or site description here.

Contact

Point of contact

Fire service contact email

Stop message

Incident status

Select all that apply — tick every statement that describes this incident.

Incident dealt with by staff — no known injuries
Fire service fought fire or carried out rescues
Injuries as a result of fire
Serious or fatal injuries suspected as result of fire

Please immediately call 0300 1233911 if you select serious or fatal injuries suspected (24-hour phone line).

Description of incident

Use plain language. Replace any codes with a clear description of what happened, where, and any actions taken.

Security

Password

Optional in this prototype — would authenticate FRS submitters in the live system.

Report received

Your submission has been saved for prototype testing. Inspectors can triage it in the main app.

Go to CPINs queue (sign in).