Baltimore County Volunteer Firefighter's Association

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Documents and Forms

The Baltimore County Volunteer Firefighter's Association
700 East Joppa Road

3rd Floor Volunteer Offices
Towson, MD 21286-5500
 
 


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

Registration   / Summary/Page2 

 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 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.
BCoFD Documents and Forms
Early Dispatch Memo & Form 60 Early Dispacth Memo and Feedback Form
Fire Alarm Activation Tracking Form
Confidential Data Sheet
Form 4  Note this is an online form now
Class Registration
Form 5   Note this is an online form now
Request for training
Verbal Counseling
Form 025
(Not Available)
PPE Inspection Form
Spending Pre-Authorization Form (SPF)
Fire Survey
Internal Memorandum
Performance Evaluation
Certification Upgrade Request
Monthly Controlled Substance Accountability
C.D.S. Accountability Log - Morphine
C.D.S. Accountability Log - Valium
Form 135
(Not Available)
Form 152 Notice of Dangerous situation - Carbon Monoxide
Form 160
(Not Available)
Recommendation for Commendation
Personnel Record Change Notice
Documentation of Disciplinary Action
Form 260 Communications Problem Report ( aka Dispatch Review Request )

Hydrant Work Order Request

EMS IV Skills Tracking

Additional Occupancy Report

Safety Officer Incident Report

Safety Officer Incident Report

 

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The Baltimore County Volunteer Firefighter's Association
700 E. Joppa Road
Towson, MD 21286-5500
Emergency Dial 911
Phone: 410-887-4885
Fax: 410-832-8507
E-mail: webmaster@bcvfa.org
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