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Er: (e.g. UT-ASF) Cell Home Email Address: Local Dispatch Office Unit ID: Trainee Position Applying For: Employment Classification: Date of First PTB Assignment: Percentage of PTB Completed: Date of Last Assignment in this PTB? Need Assignment for Recertification: (Create one form for each trainee position employee applies for) (Figure PTB% based on the assumption that 100% means that the home unit would certify the PTB) (e.g. ID-BDC) (Agency, Cooperator or Emergency Firefighter/AD).

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