The Ohio Ifsac Grandfather Application form is a document used by individuals seeking certification in fire service roles based on prior training and experience. This application allows applicants to obtain certifications that recognize their qualifications acquired before December 31, 2002. Completing this form is essential for those wishing to validate their skills and advance their careers in the fire service community.
The Ohio IFSAC Grandfather Application form is an essential tool for firefighters seeking certification based on their previous training and experience. This application allows individuals to apply for various levels of certification, including Firefighter I, Firefighter II, and Haz Mat Operations, among others. To qualify, applicants must have completed their training before December 31, 2002. The form requires personal details such as the applicant's name, address, and Social Security number, along with information about their current position in a fire department or organization. A payment of $20 is necessary to process the application, which can be made via check, money order, or credit card. It's important to remember that all required documentation must be submitted alongside the application, as illegible documents will not be accepted. By signing the form, applicants confirm that the information provided is accurate. This application is a crucial step for many in the firefighting community, ensuring that their prior qualifications are recognized and validated.
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
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
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