Form Dfs K4 1033 PDF Details

When a firefighter's journey with their department comes to an end, it's more than just turning in gear and saying goodbyes; it involves formal notifications that must be meticulously completed and submitted. The DFS K4 1033 form plays a pivotal role in this process. Crafted by the Department of Financial Services, specifically under the Division of the State Fire Marshal, this form serves as the official notice of termination of employment for firefighters in Florida. Whether the departure is due to resignation, retirement, involuntary disability, or even the unfortunate event of death, this document captures the essential details, including the firefighter's name, date of birth, employment dates, and the critical reason for termination. In addition to these personal and professional details, the form asks if the departing firefighter participated in the Firefighter Supplemental Compensation Program, a piece of information that necessitates the submission of another form (DFS-K4-1055) if answered affirmatively. The completion of this form, which is easily accessible online at the Florida State Fire College's website, is not merely a formality but a crucial step in ensuring proper processes are followed. It must be sent to the Bureau of Fire Standards and Training within ten business days after the termination date, highlighting the urgency and importance of timely compliance. This form not only serves administrative purposes but also assists in maintaining accurate records for the state's firefighting personnel.

QuestionAnswer
Form NameForm Dfs K4 1033
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesTERMINATION, DFS-K4-1033, FIREFIGHTER, SUPPLEMENTAL

Form Preview Example

THE DEPARTMENT OF FINANCIAL SERVICES

Division of the State Fire MarshalForm may be completed at www.floridastatefirecollege.org

NOTICE OF TERMINATION OF EMPLOYMENT

AS A FIREFIGHTER

BUREAU OF FIRE STANDARDS & TRAINING

FIREFIGHTER'S NAME:

 

 

 

SS#:

 

 

 

 

1

 

 

 

 

 

 

MAILING ADDRESS:

 

 

 

 

 

 

 

 

 

 

 

 

 

PO BOX OR STREET ADDRESS

 

CITY

STATE

ZIP CODE

TELEPHONE #:

 

 

DATE OF BIRTH:

 

 

 

 

 

FIRE DEPARTMENT:

 

 

 

 

 

 

 

 

 

 

FIRE CHIEF:

 

 

 

TELEPHONE #:

 

 

 

 

DATE OF EMPLOYMENT:

 

 

DATE OF TERMINATION:

 

 

REASON FOR TERMINATION:

RESIGNED RETIRED INVOLUNTARY

DISABILITY DECEASED

COMMENTS (REQUIRED FOR INVOLUNTARY TERMINATION):

DID THIS INDIVIDUAL PARTICIPATE IN THE

FIREFIGHTER SUPPLEMENTAL COMPENSATION PROGRAM?

YES

NO

IF YES, PLEASE SUBMIT THE REQUIRED

NOTICE OF INELIGIBILITY FORM DFS-K4-1055

SIGNATURE OF FIRE CHIEF OR AUTHORIZED AGENT

DATE

NOTE: THIS FORM IS TO BE COMPLETED AND MAILED WITHIN TEN (10) BUSINESS

DAYS AFTER DATE OF TERMINATION TO:

BUREAU OF FIRE STANDARDS AND TRAINING, 11655 NW GAINESVILLE ROAD, OCALA, FLORIDA 34482-1486

1Please note that the social security number is not required; however, if you provide it, it will greatly assist us in assisting you.

DFS-K4-1033 REV 03/06

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INVOLUNTARY completion process described (part 1)

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