Get Worker Registration Form

This guide provides clear, step-by-step instructions on how to complete the Worker Registration Form online. By following these directions, you will ensure that your registration is filled out accurately and efficiently.

Follow the steps to successfully complete your registration form.

1. Click the ‘Get Form’ button to access the Worker Registration Form and open it in your preferred editor.
2. Select the appropriate registration type by checking one of the options: New Registration, Renewal, Change of Information, or Replacement Card. If you are a new registrant, leave the Card # field blank.
3. Fill in your personal details, including your last name, first name, and middle initial (M.I.). Make sure to spell your name correctly, as this will be used for identification purposes.
4. Provide your Member Organization, which is CRESA EOC, followed by your home, mobile, work telephone numbers, and pager details, if applicable.
5. Enter your email address(es) accurately to ensure you receive important communications regarding your registration.
6. If you have an amateur radio call sign, please include that information in the designated field.
7. Input your physical or home address, including street, city, state, and zip code. If your mailing address is different, fill it in the provided section.
8. Complete the date of birth, blood type information, sex selection, and physical attributes such as height, weight, hair color, and eye color.
9. If applicable, mention any physical disabilities that may impose restrictions.
10. In case of an emergency, provide the name and relationship of the person to notify, along with their phone number.
11. Sign and date the form indicating that the information you provided is accurate to your best knowledge. This signature may be required by your Training Coordinator.
12. You may also need to complete sections related to the training coordinator’s verification or any additional required approvals before submitting the form.
13. Once all sections are completed, save your changes. You can then download, print, or share the form as necessary for submission.

Complete your Worker Registration Form online today to ensure you are ready to assist in emergencies.