Merging Fire Department Membership Application

Please complete the Merging Fire Department Membership Application below as the parent fire department. Note that all merging departments are required to submit Association forms until the department's 1% fund is zero balanced. Departments are encouraged to spend remaining 1% fund within 12 months of merging.

Fire Department
Key Personnel

First and Last Name

First and Last Name

First and Last Name

Fire Department Structure














Services






Example: 911 dispatch

Equipment
Supporting documents