Get Verification Form For Participation In Mississippi Volunteer Firefighter ...

Filling out the Verification Form for Participation in the Mississippi Volunteer Firefighter Telemedicine Program is essential for volunteers to access vital resources. This guide will walk you through each step to ensure the form is completed accurately and efficiently online.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In Section 1, the County Fire Coordinator must certify the applicant's participation. Fill in the printed name of the applicant, including their first, middle, and last name.
3. Provide the complete address of the applicant, including city, state, and zip code.
4. The County Fire Coordinator should verify that the applicant is in active service as a volunteer firefighter for the specified municipality, county, or fire district in Mississippi. A signature and printed name of the Volunteer Fire Chief must be included.
5. Next, the County Fire Coordinator must add their signature and printed name to affirm the certification of the applicant's active service.
6. In Section 2, the applicant must confirm the accuracy of the information by signing and printing their name. Include the date and telephone number.
7. Review the completed form for any errors or omissions before proceeding.
8. Once all sections are completed, you can save changes, download the form, print it, or share it as needed.

Complete your Verification Form online today and ensure your eligibility for the Mississippi Volunteer Firefighter Telemedicine Program.