Form Fs 5100 30 – Fill Out and Use This PDF

Form FS 5100 30 is a versatile financial document designed by the United States government to help taxpayers calculate their taxes. Not only can this form be used to calculate returns and liabilities due the IRS, but it can also be utilized to provide estimated payments, request an extension, or make certain elective plan elections. Additionally, Form FS 5100 30 can be a useful tool for settled spouses who are refunded as wages or are treated as part proprietors, settling officers, and for insolvency expense allocations, among other things. Thus, filing this form with all other necessary tax documents when filing one's taxes properly accounts for all liability in determining what is owed and the figure required to settle payments on time.

Form Fs 5100 30 PDF Details

Form FS 5100 30 is a form used to notify the IRS of a change in your business address. This form must be filed within 75 days of the change, and can be filed using either paper or electronic filing. The form requires certain information about your business, including its name, employer identification number (EIN), and principal office address. You must also provide information about the new address, including the city, state, and ZIP code. Filing this form will ensure that the IRS has up-to-date information about your business's location. NOTE: If you are closing down your business, you should file Form 966 instead of Form FS 5100 30. Form FS 5100 30 is an important notification for businesses who move or change their addresses. This short guide will tell you all you need to know about this form so that you can file it with ease! After reading this guide, if you still have questions feel free to head over to our contact us page where one of our representatives will be more than hap

Question	Answer
Form Name	Form Fs 5100 30
Form Length	1 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	15 sec
Other names	arduous pack test, work capacity test data sheet, work capacity test for wildland firefighters, work capacity test record

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	USDA Forest Service/Department of Interior	FS-5100-30 (Rev 8/2009
		OMB 0596-0164 (Expires 1//2013)

	Work Capacity Test: Informed Consent
	 Pack Test- Arduous The 3-mile test with a 45	Risks
	 Pack Test- Arduous The 3-mile test with a 45
	pound pack in 45 minutes is strenuous, but no	 There is a slight risk of injury (blisters, sore
	more so than the duties of wildland firefighting.	 There is a slight risk of injury (blisters, sore
		legs, sprained ankles) especially for those
	 Field Test-Moderate The 2-mile test with a 25	who have not practiced the test. If you have
	 Field Test-Moderate The 2-mile test with a 25	been inactive and have not practiced or
	pound pack in 30 minutes is fairly strenuous,	been inactive and have not practiced or
	pound pack in 30 minutes is fairly strenuous,	trained for the test, you should engage in
	but no more so than the field duties.	trained for the test, you should engage in
	but no more so than the field duties.	several weeks of specific training before you
		several weeks of specific training before you
	 Walk Test-Light The 1-mile walk in 16 minutes is	take the test. Be certain to warm up and
	 Walk Test-Light The 1-mile walk in 16 minutes is	stretch before taking the test, and to cool
	moderately strenuous, but no more so than the	down after the test. The risk of more serious
	duties assig.	consequences (such as respiratory or heart
		problems) is diminished by completing the
		(HSQ) physical activity readiness
		questionnaire.

I have read the information on this form, the brochure “Work Capacity Test” and understand the purpose, instructions, and risks of the job related to work capacity test.

I have read the information, understood, and truthfully answered the HSQ.

Test to be Taken (check one) Pack test

Field Test

Walk Test

Signature

Date

Printed Name

Privacy Statement

The information obtained in the completion of this form is used to help determine whether an individual being considered for wildland firefighting can carry out those duties in a manner that will not place the candidate unduly at risk due to inadequate physical fitness and health. Its collection and use are covered under Privacy Act System of Records OPM/Govt-10 and are consistent with the provisions of 5 USC 552a (Privacy Act of 1974).

Paperwork Reduction Act Statement

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0596-0164. The time required to complete this information collection is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, gender, religion, age, disability, political beliefs, sexual orientation, and marital or family status. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at 202-720-2600 (voice and TDD). To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW, Washington, DC 20250-9410 or call (800) 975-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.

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Form Fs 5100 30 – Fill Out and Use This PDF

Form Fs 5100 30 PDF Details

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