Forms Flashcards

1
Q

Notice of Right to Union Representation

A

FRD-290

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2
Q

Professional Standards Office Record of Employee Criminal, Arrest, or Civil Court Action

A

FRD-035

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3
Q

Vehicle Accident Report

A

FRD-072

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4
Q

Supervisor’s Statement Request for Fitness for Duty Evaluation

A

FRD-025

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5
Q

Rapid Entry System Key Replacement Request

A

FRD-048A

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6
Q

Supervisor’s Report of Work Related Injury and/or Illness

A

FRD-071

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7
Q

Controlled Medication Discrepancy

A

FRD-105

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8
Q

Supply Return

A

FRD-008

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9
Q

Professional Standards Confidentiality Agreement

A

FRD-003

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10
Q

Request for Flex Staffing

A

FRD-005

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11
Q

Off-Duty Employment

A

FRD-007

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12
Q

EMS Equipment Daily Check Log

A

FRD-205

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13
Q

Medication Inventory Check Sheet

A

FRD-212

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14
Q

Investigative Warning

A

FRD-297

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15
Q

Technician’s Procedural Guarantees

A

FRD-298

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16
Q

Professional Standards Complaint Form

A

FRD-299

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17
Q

Equipment Request

A

FRD-313

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18
Q

Infectious Disease Exposure Report

A

FRD-314 (Back-up to E314)

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19
Q

Accident/Injury Narrative

A

FRD-317

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20
Q

Citizen Injury

A

Risk-06

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21
Q

Citizen Property Damage

A

Risk-05

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22
Q

Property Loss

A

Risk-03

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23
Q

Workplace Violence Incident Report

24
Q

EAP Referral

25
Good Samaritan Citizen Exposure Intake
FRD-399A
26
Medical Status Report
FRD-074
27
Non-Monetary Donations
FRD-012
28
EMS Inquiry
FRD-019
29
Gift Fund Expenditure Request
FRD-032
30
Posting of House Numbers
FRD-038
31
Canine Bite Report
FRD-047
32
Community Outreach Report
FRD-059
33
Fire Station Employee Information
FRD-062
34
Fitness Improvement Plan
FRD-073
35
Significant Incident Report
FRD-075
36
Protective Order
FRD-085
37
Request for FMLA
FRD-087
38
Tuition Reimbursement
FRD-099
39
Work Substitution
FRD-110
40
On-Call Substituion
FRD-111
41
Peer Support Confidentiality
FRD-115
42
Coaching/Counseling
FRD-132
43
Oral Reprimand
FRD-133
44
Written Reprimand
FRD-134
45
Request for Removal of Discipline
FRD-136
46
Request for Light Duty
FRD-159
47
Rapid Entry System Information
FRD-182
48
Prehospital Care Report (Paper)
FRD-207
49
EMS Transport Inventory and Inspection Form
FRD-209-A
50
EMS NON-Transport Inventory and Inspection Form
FRD-209-B
51
Tier 1 ALS Bag Inventory and Inspection Form
FRD-209-C
52
Tier 2 ALS Bag Inventory and Inspection Form
FRD-209-D
53
Time and Leave Overtime Addendum
FRD-214
54
Mandatory Recall to Duty
FRD-216
55
Application for Paramedic Certification Program
FRD-295
56
Supervisory Follow-Up Checklist
FRD-410