Get Firemed Application - Polk County Fire District No.1

This guide provides a step-by-step approach to completing the FIREMED Application for membership with Polk County Fire District No.1. By following these instructions, users can efficiently fill out the form online and ensure their application is submitted correctly.

Follow the steps to complete your FIREMED Application online.

1. Use the ‘Get Form’ button to access the FIREMED Application. This will open the form in your preferred online editor.
2. Begin filling out the 'Household Information' section. Provide your street address, phone number, city, state, and zip code. Ensure the information is accurate to prevent delays.
3. If your mailing address differs from your street address, fill in the 'Mailing Address' section with the required details.
4. Outline your household members in the designated area. List the last name, first name, middle initial, and date of birth for each person who resides with you and qualifies for membership.
5. If you have more members than space available, utilize an additional sheet to continue listing household members.
6. Read and acknowledge the acceptance of the FireMed agreement by providing your signature in the designated field.
7. Indicate the date of application submission in the form’s date section.
8. Remember to include your payment of $60 along with the application submission. If paying by check, ensure it is made payable to Polk County Fire District No.1.
9. Once you have completed the form, options will be available to save your changes, download, print, or share the application as necessary.

Complete your FIREMED Application online today to ensure your membership with Polk County Fire District No.1.