Download the Fireworks Injury Reporting Form and either Fax or mail to the Indiana State Department
of Health.
Fireworks Injury Reporting Form 
Please fax this form to (317) 233-7805; Attn:
Injury Epidemiologist
Or mail to: Indiana State Department of Health
2 North Meridian Street, 6A
Indianapolis, IN 46204
Please direct any calls to (317) 234-2888 or 233-7960
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