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Town of Lincoln, RI Fire/Rescue Personel only
Name
*
Date of Birth
*
Rank
*
Rank
Probationary
Private
Fire Fighter
Safety Officer
Lieutenant
Captain
Deputy Chief
Assistant Chief
Chief of Dept
Town of Lincoln, RI
Fire/Rescue Dept.
*
Fire Department
Station 1 Manville
Station 2 Albion
Station 3 Lime Rock
Station 4 Lonsdale
Station 5 Saylesville
Station 7 Quinnville
Lincoln Rescue 2
Lincoln Rescue 4
Primary Contact Number
*
Email Address
*
Fire Certifications
[Level 1, 2, & etc]
*
Rope Rescue Certifications
[Rope 1, 2, &etc]
*
Dive Certifications
[Open water, Dive Rescue, Ice, & etc]
*
Technical Rescue Certifications
[Trench, Confined Space, & etc]
*
Other pertainent information or comments:
NIMS/ICS Training
*
Signature
*