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, 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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