City of Victoria Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
  1. Would you like a free health screening?*

    Members of the Victoria Fire Department will provide basic vital signs checks, glucose assessment and heart screening. They will also be able to answer basic health questions and provide information on what types of incidents are appropriate for an emergency room and what would be better seen at an urgent care clinic or doctor’s office.

  2. Leave This Blank:

  3. This field is not part of the form submission.