BCVFA Documents and Forms
|
| Active 911 Application |
Active 911 Application (Please note there is a $14/year fee) |
| Scholarship Application - Due 04/01/2024 |
BCVFA Scholarships |
|
HIPAA Provider Release Form
HIPAA CRISP Release Form
|
HIPAA FORMS (new)
|
|
BCVFA Vehicle Tags (3/24)
|
Vehicle Tags and Registration Info
|
| Apparatus Standards Checklist |
Apparatus Standards |
| Fuel Card Request |
Apparatus Fuel Card Registration Form |
|
Volunteer Physical Form (2/21)
Medical Authorization Form (Appendix A&B 12/21)
Expanded Medical Authorization Form (1/23)
|
Annual Physical Request Form And Updated Appendix A/B for the Physical Form |
| Fitness Medical Questionnaire (8/23) |
MFRI/BCoFD Fire Service Training Fitness Medical Questionnaire |
| Apparatus Replacement Form (12/22) |
Apparatus Replacement Form - to be approved by Fire Chief before submitting loan App |
| Apparatus Age Waiver |
Apparatus Age Waiver Form |
| SCBA Evaluation - MSA |
MSA SCBA evaluation form |
| Annual Hose Test (01/23) |
For documentation of company annual hose test. |
| Beneficiary Designation Form (1/23) |
BCVFA beneficiary designation form - UPDATED FORM |
|
Capital Revolving Loan Fund Application
|
For applying for funding from the capital revolving loan fund. |
|
Credentials Form (12/16)
|
For submitting member company credentials.
|
|
Deceased Member Notice
|
For making a notification of a deceased member. |
| Company Medical Coordinator change |
Request for change in Company Medical Coordinator. |
| Electronics Communications - Incident Report (1/24) |
For submitting loss, damage, or theft of pager or radio equipment. |
| Electronics Communications - Incident Report Procedures (1/24) |
Procedures for reporting the loss, damage, or theft of pager or radio equipment. |
| Fair Practices Complaint Form |
For reporting Fair Practices issues |
| Field Feedback Form |
Reporting feedback to BCoFD |
| Fit Test Equipment Request |
Download and email this form to request Fit testing equipment. |
| LOSAP Benefits Application (3/24) |
For use in applying for LOSAP benefits. |
|
NFIRS Member Agreement (2/21)
|
Member agreement for using county computer systems. |
|
NFIRS Member Agreement Exhibits
|
Additional exhibits that must be read for member agreement. |
|
Pager Contract (10/23)
|
Contract for use of pager and charger/amplifier. |
|
PPE Policy (12/23)
|
Outline of policy for issuing turnout gear. |
|
Statement of Intent to Volunteer
|
Waiver form for career members to volunteer. |
|
First Report of Injury (Guide)
First Report of Injury (Form)
|
Must be completed and submitted within eight hours of injury. |
