Get Duty Status Form V2011-04 - Mt Lebanon Fire Department - Mtlfd

This guide provides detailed instructions on how to complete the DUTY STATUS FORM V2011-04 for Mt Lebanon Fire Department online. By following these steps, users will be able to effectively fill out and submit the necessary information accurately and efficiently.

Follow the steps to successfully fill out the form.

1. Click ‘Get Form’ button to access the form and open it in the provided online editor.
2. Begin by entering the name of the fire fighter in the designated field at the top of the form.
3. Next, write the current date in the specified area.
4. Indicate the effective date for the duty status by filling in the respective date.
5. For the duties performed, mark 'YES' or 'NO' for each listed condition, including availability for unrestricted duty, restricted duty, and administrative functions.
6. Continue to assess physical capabilities by indicating 'YES' or 'NO' for various activities such as standing for extended periods, lifting weights, and wearing protective equipment.
7. In the section for fire fighting duties, similarly indicate capability for tasks involving bending, lifting, and wearing respiratory protection.
8. Fill in the physician's name who has evaluated the fire fighter’s fitness for duty in the respective field.
9. Finally, provide the required signature indicating that the information supplied is accurate and complete.
10. Once all information is entered, save the changes, and select the option to download, print, or share the form as needed.

Complete your DUTY STATUS FORM V2011-04 online today for a seamless filing experience.