National Campaign For Firework Safety

Registered Charity No 1073900

Incident Report


If you wish to share an unhappy experience relating to fireworks, please complete this form.

May we publish your experience?

If you do not wish for us to publish your experience, please accept the default "Private" option below. Alternatively please select the "You may publish" option, which will authorise us to share your experience as we feel appropriate. We shall not be including your private contact details in any published work.

Your Location

Select the county in which you are located:
English Persons only 		Select the country in which you are located:

Link to your own official web page
If you or your organisation has their own web page, type the full address:

Email Address              (Compulsory Field)
Email contact address:
Email:

What is your name
Please tell us your name:
Title First Name Surname
Mr, Mrs, Miss, Dr, etc (Compulsory Field)

Postal Address
Address:



Postcode:

Your Message:
Your Message:

Please describe the firework related incident stating when and where it happened.










































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