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Office of the
 Fire Marshal

Fire Department
Commitment to Participate Firefighter Certification Program

Name of Fire Department

Contacted Phone No.
Four/Six digit location codeFour/Six digit location code
 		 The department is composed of

Full-time Firefighters         Volunteer Firefighters         Composite
 

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

We have requested and received the Ontario Firefighter Curriculum:

If the answer is no, I understand that this is a necessary prerequisite.

Yes

No

Attached is a list of _____________________firefighters in the department (complete with their
                              (state the total number)
full names date of employment and classification) who will be seeking certification through the Certification Program:
 

 _____________________________  are Full-time Firefighters; and
      (state the number, if applicable)

 

_____________________________  are Volunteer Firefighters.    
      (state the number, if applicable)

                                                         

Name of FireChief: _____________________________________________________________
                                                   please print

Date:________________________________
    



Signature: _____________________________________________________
                                                  (Fire Chief)

  

            

For Office Use only:

 

 

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