Class Application Form

Class Application Form

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The following below firefighter listed is a member of a Waldo County Fire Department and is authorized to participate in the Waldo County Fire Training Committee Class. These members are covered by the Fire Department’s Worker’s Compensation Policy and are not presently drawing Worker’s Compensation Benefits and compliant with Maine Respiratory Protection Program (1910.134).

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Waldo County Training Committee Class Application

First Name:

Last Name:

Your Email:

Mobile phone:

Service Requested:

Requested Start Date:

Department Name & Department authorization name:

SEND PAYMENT TO WCFFA PAT SCRIBNER, PO BOX 112, MORRILL, MAINE 04952