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231 E. Piccadilly St., Suite 330
Winchester, Virginia 22601
phone: 540.662.2298
fax: 540.542.1318
 
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Department Forms

All forms listed are in Adobe Acrobat (.PDF) format.  You must have the Acrobat Reader install on your computer to view these files.  Click below to download.

 
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City Forms
Standard Department Forms
Personnel Evaluation Forms
Accident Forms

Forms

 

Attend a Training Event
WFRD Training Request
City of Winchester Travel Authorization Form
Virginia Department of Fire Program Training Request
Post Attendance Training Evaluation
Frederick County Training Form
 

City Forms
EBS/Atlanta Flex Spending Account Form
Other City Forms
 

Standard Department Forms
Absorbent Use Form
Ambulance Billing Authorization
Ambulance Driver Check Off
Ambulance Driver Training Log
Apparatus Inspection
Apparatus Inspection - Utility Vehicles
Attendance Sheet
CAD Text Messaging Request
Combined Notice to Ambulance Patients
Customer Services Inquiry
Department Letterhead
Department Personnel Information
EMS - Informed Consent to Refuse
Exposure Report
EZ-IO Documentation
Generator Inspection
Home Escape Plan
Instructor/Course Evaluation
King LT Airway Usage
Leave Request
NFIRS Report Forms
Outside Employment
Oxygen Cylinder Inventory Log
Pre-Emption Malfunction Report
Pre-Hospital Quick Report
Pump Operator Skills Evaluation
Pumper Driver Check Off
Pumper Driver Training Log
Radio Maintenance Request
Ride Along Package
Shift Trade Request
SCBA Check-Off Sheet
Smoke Alarm Liability Release
 
Drug Box Forms
Drug Box Inventory Attachment A
Drug Box Inspection Form Attachment B
Drug Usage Form Attachment C
Expiring Drug Fax Form Attachment D
 
Personnel Evaluation Forms
Performance Evaluation Powerpoint
Performance Evaluation Scoring System
WFRD Performance Evaluation Form
WFRD Expectation Reference
WFRD Feedback Form
City Feedback Form
 
Accident Forms
Career Injury Forms
Volunteer Injury Forms
Vehicle Accident Report - City
Vehicle Accident Supplemental - WFRD
Property Damage - City
Policy Notification Procedures - City
Accident Review Board By-Laws