Are you in need of a form to complete for your business or legal requirement? Then look no further than the 288 form. This official document is necessary for any company that needs to be registered with the state and it can sometimes be difficult to find the exact information you are looking for. To make matters simpler, this blog post will provide an overview of what a 288 form is and how you can correctly fill it out so that your request is accepted quickly. By understanding exactly what documents are required, where they should be sent, as well as other important details associated with filling out this form - you'll have all of the knowledge needed to ensure you stay compliant within regulations set by your state!
Question | Answer |
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Form Name | Of 288 Form |
Form Length | 1 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 15 sec |
Other names | of 288, fillable of 288, form 288, 288 form |
EMERGENCY FIREFIGHTER TIME REPORT
1. Identification Number
2. |
Social Security Number |
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3. |
Initial Employment (x one) |
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4. Type of Employment (x one) |
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Yes |
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No |
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Casual |
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Regular Gov |
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Other |
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5. |
Transferred From |
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Hired At |
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7. Employee has (x one) |
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8. Entitled to Return Travel |
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Entitled to |
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Time (Y or N) |
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Return Trans (Y or |
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Been Discharged |
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Quit |
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Yes |
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No |
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ZIP CODE MUST BE ENTERED BELOW |
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IN CASE OF ACCIDENT NOTIFY |
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10. Name (First, Middle, Last) |
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15. Name |
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11. Street Address |
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16. Street Address |
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12. City |
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13. State |
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14. Zip Code |
17. City |
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18. State |
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19. Telephone No. |
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Column A |
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Column B |
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Column C |
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Column D |
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1. |
Fire Name |
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1. |
Fire Name |
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1. |
Fire Name |
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1. |
Fire Name |
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2. |
Fire No. |
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3. Unit Code |
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2. |
Fire No. |
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3. Unit Code |
2. |
Fire No. |
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3. Unit Code |
2. |
Fire No. |
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3. |
Unit Code |
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4. |
Fire Location |
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5. State |
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4. |
Fire Location |
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5. State |
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4. |
Fire Location |
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5. State |
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4. |
Fire Location |
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5. |
State |
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6. |
Firefighter Classification |
7. Rate |
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6. |
Firefighter Classification |
7. Rate |
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6. |
Firefighter Classification |
7. Rate |
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6. |
Firefighter Classification |
7. |
Rate |
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8. |
Date and Time |
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8. |
Date and Time |
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8. |
Date and Time |
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8. |
Date and Time |
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a. Year: |
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a. Year: |
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a. Year: |
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a. Year: |
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Mo |
Day |
Start |
Stop |
Hours |
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Mo |
Day |
Start |
Stop |
Hours |
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Mo |
Day |
Start |
Stop |
Hours |
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Mo |
Day |
Start |
Stop |
Hours |
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o |
c. |
d. |
e. |
f. |
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b. |
c. |
d. |
e. |
f. |
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b. |
c. |
d. |
e. |
f. |
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b. |
c. |
d. |
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e. |
f. |
9. |
Total |
>> |
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9. |
Total |
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9. |
Total |
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9. |
Total |
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10. |
Gross Amount |
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10. |
Gross Amount |
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10. |
Gross Amount |
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10. |
Gross Amount |
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(Item 7 x item 9) |
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(Item 7 x item 9) |
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(Item 7 x item 9) |
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(Item 7 x item 9) |
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11. |
Inclusive |
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11. |
Inclusive |
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11. |
Inclusive |
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11. |
Inclusive |
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12. |
Time Officer's Signature |
12. |
Time Officer's Signature |
12. |
Time Officer's Signature |
12. |
Time Officer's Signature |
13. Date Signed
13. Date Signed
13. Date Signed
13. Date Signed
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21. SHOW "H" FOR HAZARD PAY AND "E" PLUS % FOR ENVIRONMENTAL DIFFERENTIAL IN THE |
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22. Commissary Record |
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"HOURS" COLUMN AFTER PRINTING SHEET. |
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a. Date |
b. Item |
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c. Amount |
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A. |
B. |
C. |
D. Accounting Classificastion |
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E. Object Class |
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Comm. |
Rate |
Miles*/ |
(a) |
(b) |
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(c) |
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(a) |
(b) |
(c) |
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F. Amount |
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BO 2600 |
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Hours |
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A. |
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$ |
- |
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B |
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$ |
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Gross |
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Salary |
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C |
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$ |
- |
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or |
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D |
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$ |
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Equip. |
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Rental |
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$ |
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* |
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$ |
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23. |
Remarks |
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Gross |
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$ |
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Ernings |
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Comm. |
Total |
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$ |
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Deduct. |
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Note: |
The above items are correct and proper for |
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Net |
24. ADO Check Number and Stamp |
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payment from available appropriations. |
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$ |
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Earnings |
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25. |
Employee (signature) |
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26. |
Time Officer |
(Signature) |
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* Equipment rentals must be supported with |
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OPTIONA FORM 288 (Rev. 3/83) |
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USDA/USDI |
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