Get Ta W6839 Form

The Ta W6839 Form is a critical document for fire departments in New York State to report assistance provided for services rendered. This guide will walk you through the step-by-step process of completing the form online, ensuring that you provide all necessary information accurately and efficiently.

Follow the steps to successfully complete the Ta W6839 Form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In Section I, provide the fire department information. Fill in the fire department name, federal ID number, county, and complete the address including street, city, state, and zip code.
3. Move to Section II and input the call information. List the person or agency requesting the response, followed by the time and date of the call. Indicate the reason for the call by selecting from the options provided: fire, accident, illness, or other.
4. Specify the location on the Thruway by checking the appropriate option. If it is a main line or section of the Thruway, include the milepost number. If it is a service area, provide the name and direction.
5. If applicable, fill out the parking/rest area section, including the interchange and milepost. Enter the registration number if it applies.
6. Next, provide details about the involved vehicle or object. List the owner's name and address as well as the operator's name and address.
7. Describe the vehicle or object involved. Additionally, detail the fire, accident, or incident along with the apparent cause and the assistance given by your department.
8. In Section III, ensure that the Fire Chief authorizes the form by providing their name and signature. This certifies that all other means of funding have been exhausted.
9. As the final step, review the completed form for accuracy. You may then choose to save the changes, download, print, or share the form as needed.

Complete your Ta W6839 Form online today to ensure timely processing of your request.