Get Health Amp Safety Training Program Fax-back Registration Bb

Filling out the HEALTH Amp SAFETY TRAINING PROGRAM Fax-Back Registration Bb is a straightforward process that ensures your participation in essential safety training. This guide provides step-by-step instructions to assist you in completing the form accurately to secure your place in the program.

Follow the steps to complete your registration form successfully.

1. Click the ‘Get Form’ button to access the form and open it in the editing interface.
2. In the section labeled 'Your Fire District,' enter the name of your fire district accurately.
3. Provide your name in the 'Name of person completing this form' field to ensure clear communication.
4. Fill in your contact telephone or fax number in the designated space for easy follow-up.
5. Select the dates of training, June 22, 2013 and June 23, 2013, confirming your availability for both days.
6. Fill in the 'Location' with 'Brighton Fire Department, 3100 East Avenue, Rochester, NY'.
7. List the names of all individuals attending training in the 'Name(s) of those attending and Fire District' section. Ensure all names are legible and accurately listed.
8. Review the information for accuracy and completeness, checking especially if there are costs applicable to your fire district.
9. If applicable, prepare a check for $100 payable to 'Fire Districts of NY Mutual Insurance Company' and note the address given for mailing.
10. Once all sections are completed, save your changes, then download, print, or share the completed form as necessary before faxing it to 845 352 2022.

Take action today by completing your registration form online to enhance your safety training!