Ohio Ifsac Grandfather Application Form PDF Details

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.

QuestionAnswer
Form NameOhio Ifsac Grandfather Application Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesfire academy grandfather online, Ohio, ohio ifsac grandfather, FDID

Form Preview Example

IFSAC Grandfather Application

Ohio Fire Academy

Local: 614-752-8818

Website:

8895 East Main Street

Toll Free: 888-726-7731

www.ohiofireacademy.com

Reynoldsburg, Ohio 43068

Fax: 614-752-7111

 

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 #

E-mail Address

Current Fire Department / Organization Information

Rank/Title/Position

Current Position: Career Part Paid

Volunteer

Other (Specify)

 

Fire Department/Organization Name

Address

 

 

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

Firefighter II

Haz Mat Awareness Haz Mat Operations

 

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