The Ohio Ifsac Grandfather Application form serves as a crucial doorway for seasoned fire service personnel to bridge their past experiences and training into recognized certifications today. Maintained by the Ohio Fire Academy, located at 8895 East Main Street in Reynoldsburg, Ohio, this form facilitates the acknowledgment of firefighting and related skills acquired prior to December 31, 2002. Applicants are required to provide essential information such as the last four digits of their Social Security number, full name, contact details, and specific details about their current position within their fire department or organization. This includes specifying their rank, title, position, and whether they're engaged in a career, part-paid, volunteer capacities, or other roles. The form then delves into the specific certifications for which the applicant is applying, emphasizing that only training received before the end of 2002 is eligible for grandfather certification. Categories available include Firefighter I and II, Hazardous Materials (Haz Mat) Awareness and Operations, and Instructor I and II levels. Furthermore, the application outlines the required payment method for the certification fees, offering options such as personal check, money order, or credit card, alongside the possibility for department or organization billing. All applicants must assert the accuracy and truthfulness of their information through their signature, underpinning the form's integrity. This structured pathway laid out by the Ohio Ifsac Grandfather Application ensures that the invaluable experience and dedication of longstanding fire service professionals are formally recognized and honored.
| Question | Answer |
|---|---|
| Form Name | Ohio Ifsac Grandfather Application Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | fire academy grandfather online, Ohio, ohio ifsac grandfather, FDID |
IFSAC Grandfather Application
Ohio Fire Academy |
Local: |
Website: |
8895 East Main Street |
Toll Free: |
www.ohiofireacademy.com |
Reynoldsburg, Ohio 43068 |
Fax: |
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Applicant Information
Social Security Number (Last four digits required)
Name: |
First |
MI |
Last |
Home Address
City
State
Zip
Date of Birth (required)
Home #
Fax #
Cell / Pager #
Current Fire Department / Organization Information
Rank/Title/Position |
Current Position: Career Part Paid |
Volunteer |
Other (Specify) |
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Fire Department/Organization Name |
Address |
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City
State
Zip
County
FDID/Agency #
Category and Level of Certification
Please Check the category/level of certification for which you are applying.
Grandfather Certification ($20 total) Mark this block and all certifications below that you are applying for. Documentation must be submitted with the application (illegible documentation will not be accepted). Only Certifications or Training received prior to December 31, 2002 is eligible for the Grandfather Certification.
Firefighter I |
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Firefighter II |
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Haz Mat Awareness Haz Mat Operations |
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Instructor I |
Instructor II |
Fire Inspector I |
Payment Method
Each application must be accompanied by payment of appropriate certification fees. Only approved methods of payments are accepted.
Check One:
Payment enclosed (check or money order) Payable to: Treasurer, State of Ohio
Charge: Credit Card Number Expiration Date: Type of Card: Master Card Visa
Bill my Department/organization: PO # ________________________ A copy of the purchase order must be attached
By my signature I am acknowledging the information provided is accurate and true.
Applicant Signature |
Date |
|
PREVIOUS EDITIONS TO THIS FORM ARE OBSOLETE |
12/18/2007 |
An equal opportunity employer and service provider |