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Membership Acceptance & ID Request

  1. Membership Information & ID Request

    This form captures information needed to show your acceptance into membership at a volunteer department. It also includes information for your initial ID card and accountability tags. This form will be sent to your department Chief to verify. 

  2. Sex*
  3. Emergency Contacts
  4. Membership Information
  5. Rescue Squad*
  6. Status Rescue Squad*
  7. Fire Department*
  8. Status Fire*
  9. Station*
  10. Certifications
  11. Leave This Blank:

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