Get Cooper Sam's Volunteer Ambulance Program

Completing the Cooper Sam's Volunteer Ambulance Program application online can be a straightforward process with the right guidance. This document serves as a detailed, step-by-step guide to help users successfully fill out the application form for the award program.

Follow the steps to complete your application form with ease.

1. Press the ‘Get Form’ button to access the document and open it in your chosen editor.
2. Provide the applicant's name in the designated field, ensuring to include your last name, first name, and middle initial if applicable.
3. Enter your Social Security number in the appropriate section. This information is necessary for internal use only.
4. Fill in your current mailing address accurately, including street, city, and zip code, as this information will be used for correspondence regarding your application.
5. Indicate your date of birth by selecting or writing the relevant date in the specified format.
6. If applicable, list any former last names you have used for official records.
7. Affix your signature and date at the bottom of the applicant information section, certifying that all information provided is accurate.
8. Next, the application requires the chief administrative officer of your ambulance service to complete the affidavit section. Ensure they write their name, sign, and date this section.
9. Lastly, the affidavit must be notarized. Make sure a notary public has signed and stamped the document as required.
10. Once all sections are complete, review your application for accuracy. You can then save changes, download, print, or share the completed form.

Start filling out your Cooper Sam's Volunteer Ambulance Program application online today!