Fire Department Online Registry Request

You will be required to upload a signed copy of the affidavit form as part of this request for registration.
Please cancel your registration request if you don’t have it ready.
Please CLICK HERE to print a blank copy of Affidavit.

Last Name First Name Middle Initial Suffix
Desired User Id Fire Department Phone
Email Verify Email
Upload Signed Affidavit:  
Click here to print affidavit
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