Forms and Applications

Fire Academy and Training Forms

• First Responder AAOS Skill Sheets
• First Responder NREMT Skill Sheets 
• Firefighter I & II Skill Sheets

Volunteer Firefighter Forms

• Navajo Nation Application (Form Fillable) 
• Physical Agility Form 
• Physical Exam Form 

HIPAA & Privacy Forms

• Noticy of Privacy Practices 
• Employee Confidentiality Statement 
• Revocation of Authorization Form 
• Request to Access PHI Denial Letter 
• Request to Amend PHI Form 
• Request to Amend PHI Form Denial Letter 
• Complaint Grievance Resolution Letter 
• Non-employee Confidentiality Statement 
• Authorization Form 

Fire Department Reporting Forms

• Leave & Shift Trade Request Form (Form Fillable) 
• Mileage Report Log 
• Drug Box Access Log 
• Vehicle Preventative Maintenance Checklist 
• NCC Work Order Form 
• Commercial Facility Inspection Form 
• Quarterly Report Form (Form Fillable) 
• Presentation Acknowledgement Form 
• Incident Field Notes
• SCBA Daily Check-Off Sheet 
• Haz-Mat Worksheet 
• Claim Form (Form Fillable) 

National Safety Council Forms

• First Aid/CPR Certificate Template (First Page) 
• First Aid/CPR Certificate Template (Second Page) 
• NSC Sign-In Roster 
• Exam Answer Sheet 

Training Forms

• Trip Report Form (Form Fillable) 
• Training Request Form (Form Fillable Template) 
• Arizona State Fire Marshal’s Office Registration 
• ASFMO Certification Application for Fire Fighter I & II 
• ASFMO Certificate Request Form 

Fire Work Forms

• Fireworks Code 
• Fireworks Code Resolution 
• Fireworks Display Application 

Agreements

• Ganado Fire District Mutual Aid Agreement
• Gallup Fire Department Mutual Aid Agreement 
• Puerco Valley Fire District Mutual Aid Agreement 
• San Juan county (New Mexico) Mutual Aid Agreement 

Resolutions

• Utilizing Arizona Standards for Pre-Hospital Care Providers 
• IGR Support Resolution - SAFER Grant 
• IGR Accepting EMW-200-FG-02690 DHS Grant