аЯрЁБс>ўџ =?ўџџџ<џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџьЅС%` љПфbjbj"x"x z*@@фџџџџџџЄ       tЄ\\\\x Ю ЖЖЖЖ‘‘‘‰‹‹‹‹‹‹$иh@œЏ Ѕ‘‘ЅЅЏ  ЖЖлФQQQЅ Ж Ж‰QЅ‰QQ  QЖ” №icяяЩ\Џ Q‰к0 QмЙŽмQм Q8‘Lн6Q,?f‘‘‘ЏЏG ‘‘‘ ЅЅЅЅ   D \   \4$Xp      џџџџ  Fire Department Information Please complete the following information on your department and mail or email to the State Fire Marshal’s Office, 246 S 14th St, Lincoln, NE 68508-1804 or  HYPERLINK "mailto:sean.schweitzer@nebraska.gov" sean.schweitzer@nebraska.gov. This information will be used for mailings and statistical purposes. Required fields are marked with an asterisk (*). The optional fields are required on whichever person is indicated in question 7 to receive all mail/email. We would like to email as much as possible to save on printing and postage. This form should also be used to notify this office of any changes to previously submitted information. Mailing Addresses: 1. Fire Department: *Name ______________________________________________________________________________ *Address ____________________________________________________________________________ *City ________________________________________________ Zip Code _______________________ *Phone _____________________ Fax _____________________ *Email __________________________ 2. Fire Chief: *Name______________________________________________________________________________ Address ____________________________________________________________________________ City ________________________________________________ Zip Code _______________________ *Daytime Phone ___________________________ *Evening Phone ____________________________ Cell Phone ______________________________ Pager _____________________________________ *Email address ______________________________________________________________________ 3. Assistant Fire Chief: *Name______________________________________________________________________________ Address ____________________________________________________________________________ City ________________________________________________ Zip Code _______________________ Daytime Phone _________________________ Evening Phone ________________________________ Cell Phone ____________________________ Pager _______________________________________ Email address _______________________________________________________________________ 4. Secretary: *Name______________________________________________________________________________ Address ____________________________________________________________________________ City ________________________________________________ Zip Code _______________________ Daytime Phone _________________________ Evening Phone ________________________________ Cell Phone ____________________________ Pager _______________________________________ Email address _______________________________________________________________________ 5. Training Officer: *Name______________________________________________________________________________ Address ____________________________________________________________________________ City ________________________________________________ Zip Code _______________________ Daytime Phone _________________________ Evening Phone ________________________________ Cell Phone ____________________________ Pager _______________________________________ Email address _______________________________________________________________________ 6. Board President: *Name______________________________________________________________________________ Address ____________________________________________________________________________ City ________________________________________________ Zip Code _______________________ Daytime Phone _________________________ Evening Phone ________________________________ Cell Phone ____________________________ Pager _______________________________________ Email address _______________________________________________________________________ Fire Department Information: 7. *All mail should be sent to: Fire Department address _____ Fire Chief address _____ Assistant Fire Chief address _____ Secretary address _____ Training Officer address _____ 8. *Does the Fire Chief receive monetary compensation of $50 or more from the fire department for the performance of his/her duties? Yes _____ No _____ 9. *Number of firefighters currently on the department (please enter the actual number in the spaces and not an “X”) Number Paid _____ Number Volunteers Paid Per Call _____ Number Volunteers _____ 10. *Is your department: Fire only _____ Fire and Rescue _____ Career (100% paid) _____ Combination (paid & volunteer) _____ All Volunteer (100% volunteer) _____ 11. *Number of stations _____ 12. *Is your Department part of a fire district? Yes _____ No _____ *If Yes, name of District ______________________________________________________________________ 13. Population protected (this is your best guesstimate of the number of people living in your jurisdiction) _________ ˜šЙКЭщыьэ } € Ё Ђ Г Е К Щ Ь Э " ѕщмщЬРБР›ЬŠЬщzщn[LnLn k l K_bcpy|}Ššž­МПРЩцыьЂЃ<=BI[fhx€ƒ„’” ЅЋЌЪЫ  mФяуяуяуяудуяуяудуяудуяудуяудуяуСуяуяуяуяуЕуЕуЕуЕуЉЕуЕЉЕуяуяуяуЕhv4ЕCJOJQJ^Jhс\чCJOJQJ^J%hѓC5B* CJOJQJ\^Jph€hѓC5CJOJQJ\^JhѓCCJOJQJ^JhѓCB* CJOJQJ^Jph€>l{а&~з.…†œёGŸјOІЇЈЉОiСqШЩцч§јјјјјј§§јјјјјј§§§§јјјјјј§§§dhч dž78ЎAІЇХЦ lmф§ї§§э§§§§§§§§§§§§§ „а„0§^„а`„0§„а`„аФЫфєшhс\чCJOJQJ^Jh‚ CJOJQJ^Jx&P+p ,p -p .p 1h/R Аа/ Ар=!Аа"Аа#а$а%ААА а4в€5в€6в€7в€DаЩъyљКЮŒ‚ЊKЉ sean.schweitzer@nebraska.govрЩъyљКЮŒ‚ЊKЉ `mailto:sean.schweitzer@nebraska.govyXє;HЏ,‚]Ф…'cЅЋ†œ@@ёџ@ NormalCJ_HaJmH sH tH DA@ђџЁD Default Paragraph FontViѓџГV  Table Normal :V і4ж4ж laі (kєџС(No List >>@ђ> Title$a$5OJQJ\^J6U@Ђ6 Hyperlink >*B*phџф*џџџџ џџ z™ џџ z™Ј фЁЂЕЖЫ!xб+,<‘ч?˜яFGaЖ dНkl{а& ~ з . … † œ ё G Ÿ ј O І Ї Ј Љ О  i С qШЩцч dž78ЎAІЇХЦ lmц0*Ѕ0*Ѕ0*^Ш0*v:0*v:0*v:0*v:џ0*АWџ0*АWџ0*АWџ0*АW0*v:0*v:џ0*АWџ0*АWџ0*АWџ0*АWџ0*АWџ0*АW0*v:0*v:џ0*АWџ0*АWџ0*АWџ0*АWџ0*АWџ0*АW0*v:0*v:џ0*АWџ0*АWџ0*АWџ0*АWџ0*АWџ0*АW0*v:0*v:џ0*АWџ0*АWџ0*АWџ0*АWџ0*АWџ0*АW0*v:0*v:0*v:0*v:џ0*АWџ0*АWџ0*АWџ0*АWџ0*АWџ0*АW0*v:0*v:0*v:0*v:0*v:0*v:0*v:0*v:0*v:0*v:0*v:0*v:0*v:0*v:0*v:0*v:0*v:0*v:0*v:0*v:0*v:ЁЂЕЖЫ!xб+,<‘ч?˜яFGaЖ dНkl{а& ~ з . … † œ ё G Ÿ ј O І Ї Ј Љ О  i С qШЩцч dž78ЎAІЇХЦ lmц˜0€€˜@0€€˜0€€˜@0€€˜@0€€˜@0€€˜@0€€˜@0€€˜@0€€˜@0€€˜@0€€˜@0€€˜@0€€˜@0€€˜@0€€˜@0€€˜@0€€˜@0€€˜@0€€˜@0€€˜@0€€˜@0€€˜@0€€˜@0€€˜@0€€˜@0€€˜@0€€˜@0€€˜@0€€˜@0€€˜@0€€˜@0€€˜@0€€˜@0€€˜@0€€˜@0€€˜@0€€˜@0€€˜@0€€˜@0€€˜@0€€˜@0€€˜@0€€˜@0€€˜@0€€˜@0€€˜@0€€€˜@0€€€˜@0€€€˜@0€€€˜@0€€€˜@0€€€˜@0€€€˜@0€€€˜@0€€€˜@0€€€˜@0€€€˜@0€€€˜@0€€€˜@0€€€˜@0€€€˜@0€€€˜@0€€€˜@0€€€˜@0€€€˜@0€€€˜@0€€˜@0€€€˜@0€€€˜@0€€€˜@0€€€˜@0€€€˜@0€€˜@0€€" ФфlчффЙь фXџ€№8№@ёџџџ€€€ї№’№№0№( № №№B №S №ПЫџ ?№џџhЌ!ьщy lЌ!,ыy iЌ!ьыy jЌ!ьшy kЌ!Ќъy ŸЈЋцІЊЕЕц>*€urn:schemas-microsoft-com:office:smarttags €PostalCode€9*€urn:schemas-microsoft-com:office:smarttags€State€:*€urn:schemas-microsoft-com:office:smarttags€Street€;*€urn:schemas-microsoft-com:office:smarttags€address€8*€urn:schemas-microsoft-com:office:smarttags€City€ ОdццЙ BI[fhx€ƒ„’” ЅЅlФЫуццх‚ ѓC)"FxGGRHGWv4Ес\чџ@€  Lдd  ф`@џџUnknownџџџџџџџџџџџџS‡z €џTimes New RomanTimes5€Symbol?& ‡z €џArialArial"ёˆ№аhвЫШ&гЫШ&‚’† к`z к`z!№ааДДr4d„„3ƒQ№мHX)№џ?фџџџџџџџџџџџџџџџџџџџџџRH2џџFire Department InformationSean SchweitzerSean Schweitzerўџр…ŸђљOhЋ‘+'Гй0А˜ Фашє 4@ ` l x „˜ ЈфFire Department InformationSean Schweitzerfiredeptinfo.dotSean Schweitzer1Microsoft Office Word@FУ#@„ож" Х@ŒpЋяЩ@в3ЯяЩ кўџеЭеœ.“—+,љЎDеЭеœ.“—+,љЎX hpŒ”œЄ ЌДМФ Ь єфYour Company Namez`„' Fire Department Information TitleШ 8@ _PID_HLINKSфA€ l$mailto:sean.schweitzer@nebraska.gov ўџџџўџџџ !"#$%&'()*+ўџџџ-./0123ўџџџ56789:;ўџџџ§џџџ>ўџџџўџџџўџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџRoot Entryџџџџџџџџ РFр•jяяЩ@€Data џџџџџџџџџџџџ1TableџџџџмWordDocumentџџџџz*SummaryInformation(џџџџџџџџџџџџ,DocumentSummaryInformation8џџџџџџџџ4CompObjџџџџџџџџџџџџqџџџџџџџџџџџџўџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџўџ џџџџ РFMicrosoft Office Word Document MSWordDocWord.Document.8є9Вq