· All Applications
_ New member application
_ Photocopy of Driver's License
_ Release form - allowing LVFD to obtain a copy of your driving record and to perform a criminal background check.
_ Copies of HEP-B shots or signed declination http://www.osha.gov/SLTC/etools/hospital/hazards/bbp/declination.html
_ Copy of current medical release or agreement to take LVFD provided physical
_ Copy of current Scott Mask fit-test or agreement to take LVFD provided fit test
· Volunteer Members
· Junior Members
_ Parental consent form
_ Durham Tech’s “Authorization Form for Concurrent Enrollment”
· Adult Volunteer Members
_ Copy of high school diploma or GED
_
Completed NC Certification Application
http://www.ncdoi.com/OSFM/FireAndRescueCommission/Documents/Certification/CertificationApplication.pdf
· Part-Time (Paid Firefighter)
_ Copies of Firefighting and EMT certifications
_ Copies of NIMS certifications (100, 200 and 700)
· Part-Time (Paid Firefighter) prior to start of work
_ W-4 http://www.irs.gov/pub/irs-pdf/fw4.pdf
_ NC-4 http://www.dornc.com/downloads/nc-4.pdf
_ I-9 http://www.uscis.gov/files/form/I-9.pdf with copies of driver's license and Social Security card.
_ Copy of a voided check and an e-mail address (for setting up direct deposit)
· Recommended (but not required)
_ VFIS beneficiary form http://www.vfis.com/pdf/BENEDESI2_000.pdf
_
NCSFA beneficiary form
http://www.ncsfa.com/pdf/accident_health_beneficiary_designation_form.pdf