69A-37.039. Prescribed Forms for Training and Certification

(1) Information required by the Bureau in this chapter shall be furnished on-line at www.floridastatefirecollege.org. The information required at www.floridastatefirecollege.org is based on prescribed forms set forth below and incorporated herein. The forms can also be obtained: (a) From fire departments or training centers; (b) By writing to the Bureau, 11655 North West Gainesville Road, Ocala, Florida 34482-1486; or (c) By downloading them from the website at www.myfloridacfo.com/Division/SFM/BFST. (2) The following forms are hereby adopted and incorporated by reference in this rule: (a) DFS-K4-1016, http://www.flrules.org/Gateway/reference.asp?No=Ref-12659, eff. 12/20, “Application for Firefighter Certification Examination.” (b) DFS-K4-1019, rev. 3/09, “Fee Information/Application and Fingerprint Card Instructions.” (c) DFS-K4-1022, http://www.flrules.org/Gateway/reference.asp?No=Ref-10097, rev. 01/18, “Medical Examination to Determine Fitness for Firefighter Training.” (d) DFS-K4-1023, https://www.flrules.org/Gateway/reference.asp?No=Ref-01465, rev. 06/12, “Application for Firesafety Inspector Certification Examination.” (e) DFS-K4-1026, rev. 03/09, “Roster of Students.” (f) DFS-K4-1028, http://www.flrules.org/Gateway/reference.asp?No=Ref-12660, eff. 12/20, “Verification of Training Hours/Firefighter I and II.” (g) DFS-K4-1033, rev. 03/09, “Notice of Termination of Employment as a Firefighter.” (h) DFS-K4-1038, rev. 07/14, http://www.flrules.org/Gateway/reference.asp?No=Ref-04760, “Release and Waiver of Liability.” (i) DFS-K4-1308, http://www.flrules.org/Gateway/reference.asp?No=Ref-12661, eff. 12/20, “Application for Practical Examination for Retention of Firefighter Certification.” (j) DFS-K4-1309, http://www.flrules.org/Gateway/reference.asp?No=Ref-12662, eff. 12/20, “Preliminary Equivalency Application Firefighter Minimum Curriculum Requirements.” (k) DFS-K4-1390, rev. 03/09, “Application for Special Certificate of Compliance for Administrative & Command Head of a Fire/Rescue/EmergencyServices Organization.” (l) DFS-K4-1438, http://www.flrules.org/Gateway/reference.asp?No=Ref-08170, rev. 3/17, “Application for Fire Investigator Certification.” (m) DFS-K4-1442, rev. 03/09, “Firefighters Supplemental Compensation Program Request for Upgrade from Associate Level to Bachelor Level.” (n) DFS-K4-1446, rev. 03/09, “Application for Firesafety Inspector II Certification.” (o) DFS-K4-1447, http://www.flrules.org/Gateway/reference.asp?No=Ref-03360, rev. 07/13, “Application for Fire Officer I Certification.” (p) DFS-K4-1448, http://www.flrules.org/Gateway/reference.asp?No=Ref-03362, rev. 07/13, “Application for Fire Officer II Certification.” (q) DFS-K4-1451, rev. 03/09, “Application for Instructor I Certification.” (r) DFS-K4-1452, rev. 03/09, “Application for Instructor II Certification.” (s) DFS-K4-1453, rev. 03/09, “Application for Instructor III Certification.” (t) DFS-K4-1455, rev. 03/09, “Application for Single Course Exemption Instructor Certification.” (u) DFS-K4-1456, rev. 03/09, “Application for Fire and Lifesafety Educator Certification Examination.” (v) DFS-K4-1457, rev. 03/09, “Application for Fire Apparatus Pump Operator Certification Examination.” (w) DFS-K4-1463, https://www.flrules.org/Gateway/reference.asp?No=Ref-01466, rev. 06/12, “Certification Renewal Application Inspector/Instructor.” (x) DFS-K4-2085, eff. 04/13, http://www.flrules.org/Gateway/reference.asp?No=Ref-03076, “Application for Fire Code Administrator Certification.” (y) DFS-K4-2104, http://www.flrules.org/Gateway/reference.asp?No=Ref-03363, eff. 07/13, “Application for Fire Officer III Certification.” (z) DFS-K4-2105, http://www.flrules.org/Gateway/reference.asp?No=Ref-03364, eff. 07/13, “Application for Fire Officer IV Certification.” (aa) DFS-K4-2106, http://www.flrules.org/Gateway/reference.asp?No=Ref-03365, eff. 07/13, “Fire Officer I Task Book.” (bb) DFS-K4-2107, http://www.flrules.org/Gateway/reference.asp?No=Ref-03366, eff. 07/13, “Fire Officer II Task Book.” (cc) DFS-K4-2108, http://www.flrules.org/Gateway/reference.asp?No=Ref-03367, eff. 07/13, “Fire Officer III Portfolio Workbook.” (dd) DFS-K4-2109, http://www.flrules.org/Gateway/reference.asp?No=Ref-03368, eff. 07/13, “Fire Officer IV Portfolio Workbook.” (ee) DFS-K4-2105, http://www.flrules.org/Gateway/reference.asp?No=Ref-03364, eff. 07/13, “Application for Fire Officer IV Certification.” (ff) DFS-K4-2138, “Health and Safety Officer Task Book,” http://www.flrules.org/Gateway/reference.asp?No=Ref-05016, eff. 08/14. (gg) DFS-K4-2139, “Incident Safety Officer Task Book,” http://www.flrules.org/Gateway/reference.asp?No=Ref-05015, eff. 08/14. (hh) DFS-K4-2140, “Application for Health and Safety Officer Certificate of Completion,” http://www.flrules.org/Gateway/reference.asp?No=Ref-05014, eff. 08/14. (ii) DFS-K4-2141, “Application for Incident Safety Officer Certificate of Completion,” http://www.flrules.org/Gateway/reference.asp?No=Ref-05013, eff. 08/14. (jj) DFS-K4-2142, “Application for Safety Officer Certificate of Competency,” http://www.flrules.org/Gateway/reference.asp?No=Ref-05012, eff. 08/14 (kk) DFS-K4-2148, http://www.flrules.org/Gateway/reference.asp?No=Ref-07044, “Confined Space Rescue Operations Task Book,” eff. 04/16. (ll) DFS-K4-2149, http://www.flrules.org/Gateway/reference.asp?No=Ref-07045, “Confined Space Rescue Technician Task Book,” eff. 04/16. (mm) DFS-K4-2150, http://www.flrules.org/Gateway/reference.asp?No=Ref-07046, “Rope Rescue Operations Task Book,” eff. 04/16. (nn) DFS-K4-2151, http://www.flrules.org/Gateway/reference.asp?No=Ref-07047, “Rope Rescue Technician Task Book,” eff. 04/16. (oo) DFS-K4-2152, http://www.flrules.org/Gateway/reference.asp?No=Ref-07048, “Structural Collapse Rescue Operations Task Book,” eff. 04/16. (pp) DFS-K4-2153, http://www.flrules.org/Gateway/reference.asp?No=Ref-07049, “Structural Collapse Rescue Technician Task Book,” eff. 04/16. (qq) DFS-K4-2154, http://www.flrules.org/Gateway/reference.asp?No=Ref-07050, “Trench Rescue Operations Task Book,” eff. 04/16. (rr) DFS-K4-2155, http://www.flrules.org/Gateway/reference.asp?No=Ref-07051, “Trench Rescue Technician Task Book,” eff. 04/16. (ss) DFS-K4-2156, http://www.flrules.org/Gateway/reference.asp?No=Ref-07052, “Vehicle/Machinery Rescue Operations Task Book,” eff. 04/16. (tt) DFS-K4-2157, http://www.flrules.org/Gateway/reference.asp?No=Ref-07053, “Vehicle/Machinery Rescue Technician Task Book,” eff. 04/16. (uu) DFS-K4-2160, http://www.flrules.org/Gateway/reference.asp?No=Ref-07054, “Application for Hazardous Materials Technician Certificate of Competency,” eff. 04/16. (vv) DFS-K4-2161, http://www.flrules.org/Gateway/reference.asp?No=Ref-07055, “Application for FLUSAR Rescue Specialist Certificate of Completion,” eff. 04/16. (ww) DFS-K4-2167, http://www.flrules.org/Gateway/reference.asp?No=Ref-07056, “Class Offering Request,” eff. 04/16. (xx) DFS-K4-2168, http://www.flrules.org/Gateway/reference.asp?No=Ref-07057, “Instructor Approval Request,” eff. 04/16. (yy) DFS-K4-2171, http://www.flrules.org/Gateway/reference.asp?No=Ref-08171, “Fire Investigator Task Book,” eff. 1/17. (zz) DFS-K4-2175, http://www.flrules.org/Gateway/reference.asp?No=Ref-08172, “Fire Investigator Portfolio,” eff. 1/17. (aaa) DFS-K4-2174, “Application for Firefighter Assistance Grant Program,” http://www.flrules.org/Gateway/reference.asp?No=Ref-08003, eff. 7/16. (bbb) Form DFS-K4-2191, “Florida Fire Service Needs Assessment,” http://www.flrules.org/Gateway/reference.asp?No=Ref-08002, eff. 1/17. (ccc) DFS-K4-2202, “Application for Lifetime Firefighter Designation,” http://www.flrules.org/Gateway/reference.asp?No=Ref-09073, eff. 01/18. (ddd) Form DFS-K4-2206, “Aircraft Rescue and Fire Fighting (ARFF) Driver Task Book,” eff. 01/19, http://www.flrules.org/Gateway/reference.asp?No=Ref-12462. (eee) Form DFS-K4-2207, “Aircraft Rescue and Fire Fighting (ARFF) Officer Portfolio Workbook,” eff. 01/19, http://www.flrules.org/Gateway/reference.asp?No=Ref-12463. (fff) Form DFS-K4-2208, “Aircraft Rescue and Fire Fighting (ARFF) Firefighter Task Book,” eff. 01/19, http://www.flrules.org/Gateway/reference.asp?No=Ref-12464. (ggg) DFS-K4-2300, http://www.flrules.org/Gateway/reference.asp?No=Ref-12663, eff. 12/20, “Application for Firefighter Cancer Decontamination Equipment Grant Program.” (hhh) Form DFS-K4-2204, “Firesafety Inspector II Task Book,” eff. 02/21, http://www.flrules.org/Gateway/reference.asp?No=Ref-12901. (iii) Form DFS-K4-2205, “Application for Firesafety Inspector III Certification,” eff. 02/21, http://www.flrules.org/Gateway/reference.asp?No=Ref-12902.