Department Information Update

Name of Department*
Department Representative Name*
First Last
Department Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Department Phone #*
Department Email
Department Website
Please upload the most current roster of ACTIVE members that you have on the department. This can be a word document, PDF file, XLS or CSV file. This list MUST contain member first name, last name, date of birth, address, phone number, and member status.
For member status, please use the following:

FT - Full-time/Career
PT - Part-time/Per diem
V - Volunteer
C - Call
E - EMS only
A - Administrative only

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We are committed to training, educating, and certifying emergency and community responders to protect the citizens and visitors of New Hampshire.

98 Smokey Bear Blvd
Concord, New Hampshire 03301

fstems@dos.nh.gov

©2020 New Hampshire Department of Safety
Division of Fire Standards and Training & Emergency Medical Services. All Rights Reserved.

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