Forms

Admin Services

• 0100.0001 Public Records Request
• 0100.0002 Citizen Comment Form
• 0100.0006 Facility Use Agreement

Personnel Services

• 0400.0001 Notice of Privacy Practices
• 0400.0002 Release of Medical Records Request
• 0400-0008 Intelius Disclosure Authorization
• 0400.0009 Employment Application
• 0400.0015 Medicare Reimbursement
• 0400.0034 Provident Benefit Designation Form
• 0400.0060 Physicians Release of Liability – Volunteer CPAT
• 0400.0061 Driver Abstract Request Form

Provider-specific benefit forms are available from the provider websites on the Benefits page.

Training

• 00400.0802 Training Request Form
• 0400.0803 VFIS Competency Course Scoresheet
• 0400.0804 Quarterly Aerial Training Form
• 0400.0805 Ride Along Application
• 0400.0806 Firefighter Live Fire Waiver
• 0400.0024 Board of Volunteer Firefighters Injury Report

Operations

• 0900.0021 Billing Authorization, Refusal of Care or Transport and Notice of Privacy Practices

Code Enforcement

• 1000.0002 Fire Safety Inspection Report

Community Services

• 0900.0021 Billing Authorization, Refusal of Care or Transport and Notice of Privacy Practices

• Fire Safety House Check-Out Form

Information Sheets

• 0900.0101 Head Injury