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Office of the
Fire Marshal

Fire Department
Commitment to Participate Fire Prevention Officer Certification Program

Name of Fire Department

                                                                                                              Contacted Phone No.

Four/Six digit
location code


 

      The department is composed of
 q Full-time Firefighters           qVolunteer Firefighters            qComposite

As Fire Chief, I declare the intent of my department to participate in the Fire Prevention Officer Certification Program.

Attached is a list of ____________________ Fire Prevention Officers in the department
                             (state the total number)

(complete with their full names, date of employment and classification) who will be seeking certification.
 

Name of Fire  Chief:__________________________________________________
                                                                      please print

 

Date:________________________________


 

Signature:__________________________________________________________
 

 
Return completed form to: Chairperson, Certification Council, Academic Standards & Evaluation Section, Office of the Fire Marshal, 5775 Yonge Street, 7th Floor, North York, ON M2M 4J1 or fax to (416) 325-3122