Fire and EMS Continuing Education Submission Form

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  • Please enter the course name as you would like it to appear online.
  • Please provide the phycisal address for the site of the training.
  • Please enter the state date of the training.
    Date Format: MM slash DD slash YYYY
  • Please enter the last day of your program if it is different than the start date.
    Date Format: MM slash DD slash YYYY
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