Untitled 1 Flashcards
Form 9
Marital Status, rank, platoon, nok
Form 175
Training classes, awards
Form 119
Step Increase Dates noted from changes due to Unsatisfactory Ratings
OBMS 90
Updates HR of member address change, income tax info
Form 14
Outside Employment
Form 2.6
Request for Representation by OAG (civli law suits)
Form 33.1
Leave and Record Card
Suspension of MIP privilege
Form 55
Company Officer Daily Checklist
Form 99
placed in the location of a report filed elsewhere. It should have a brief description of the missing report, date, location of report
Form 170.3
Metro Alarms (not medical locals) to Sp Ops Div attn Metro Liason through IC
Form 126.1
Daily Report Personnel BFC to DFC (DFC uses Form 126)
Used for terrorism training tracking
Form 19.2
Request to visit Quarters, permission from BFC
Form 151
PT care
Form 138.4
Unk
Form 127
Training Academy (activities)
Form 112
Property Inventory due OCT 15, kept in executed file drawer, updated JAJO, Annual due on OCT 3 with alphabetical list of items charged by class
Form 108
Quarterly Report JAJO with monthly
Form 180
Language Line, submitted to PIO
Form 54.4
Medications to expire in 60 days, Medication to expire checklist filled out the first day of the month by members assuming duty, reviewed by officer
Form 2.2
Recommendation to Form 2.2 to AFC as to direction to take charges
Form 2
Information to OoC on charges
Form 2.1
Notification of Interview (DIB) 7 days prior
Form 7
Vehicle Accident Investigation to OoC
Form 3.3
Request Personnel File to Compare Punishment (member consent/court order required) made by FTB
Form 1199-A
Notification of Charge to AWOL
Form 163
Trade, Exchange of Hours, 24 hours in advance
SF 71
AL or leave form while on daywork, (civilians use for SL) (FF use for SL for dental or optical appt)Signed SF-71 required if on sick leave restriction or remains on sick leave beyond 3 day period
Form 13
OT, filled out for end of Daylight savings
Form 11.2
Request for restored AL, attach denied SF-71’s
Form 44
FF SL certification
Form 11
using or declining leave periods filled out 7 days prior to period
Form 1199
Request for LWOP (requires Special report with reason and dates),, or advanced leave request
Form 44.4 Safety
Injury Reporting Form, typed and submitted by Co Officer w/in 10 days for POD
Form 44 Medical
POD form
Form 11.4
Request for advanced leave (with special report)
Form 11.5
Request for AL to be charged in Lieu of SL (for current pay period concerned)
Form 10
Request for Reassignment, valid for Calendar Year
Form 44.1 Exposure
Possible Exposure (on or off duty)
Form IC-1
Occupational Exposure Incident Report submitted to Infection Control Office
Form 44.6
MIP
Form 44.5
Tracking (for duty status changes, this will be forwarded to MSO, copy placed in personnel file) SL or POD status entered here
Form 158
Annual Report of Admin Leave - Sick (POD) JAN 15 for members who were on POD
Form 34
Request to leave Metro Area while on SL, Physican to MSO
Form 50.1
(whether or not Unsatisfactory rating is being considered), alont with special report
Form 50
Rating form filled out 30 days prior to step increase
Previous months training hours for members
Form 50.5
Annual Performance Evaluation, kept for 3 years
Form 50.2
Inenctive Pay Form (15, 20, 25, 30 years of service)
Form 50.4
For paramedic differential pay calculation
Form 40.1
for Retirement, whether seeking extension or not
Form 25
Highlights employee’s contribution for Incentive Award
Form 67.1
Length of Service Awards, 10, 20, 30, 40 years Before Dec 31 will have form filled out before March 15th Of that Year to PIO, submitted annually
Form 54
Training Hours of Members for the preceding Month, uniformed or civilian personnel should have their participation noted in a special report due the 3rd day of the following month
Form 175.1
Admin leave for classes, TA, OT for training
Form 22
Building Inspection Report, to FPD, Sprinkleror Alarm System OOS, Fire prevention inspection
Form 22 AFA
System OOS unable to reset
Form 151H
Helicopter Medevac Report filled out within 24 hours
Form 45.1
Sprinkler Standpipe Report (to DFC and FPD) In inspection route folders, OR on file in the Co file cabinet in front of the fire prevention inspection route file folders, alphabetically and numerically
Form 45
Building Report (to DFC and FPD)In inspection route folders, OR on file in the Co file cabinet in front of the fire prevention inspection route file folders, alphabetically and numerically
Form 129
Smoke Detector Waiver Form, to FPD, inventory reported quarterly using JAJO
Form 1
Property kept in the top right hand drawer of company desk
Form 17
Surplus Accountable Property to be picked up April and October
Form 97
Lost or Stolen Property report (special reports will be formulated off of this after investigation from Officer in charge at the time of loss or damage)
Form 274
Claim for reimbursement from the department for Personal Property Lost or damaged in performance of duty
Form 112.1
Special Inventory when property officer is transferred or retires
Form 7
Accident Investigation Form, submitted with safety responsibility form (if injuries occurred)
SF 91, SF 94
GSA Vehicle accident packet found in glove compartment
Form 4
BN inspection report, 1st Sunday each Month by BFC (reserve engines)
Form 122
hose tested annually unless in service less than 1 year, NFPA 1962 Ch 8
Form 138
Service Testing (annual and after repairs)
Form 17
Repair to Facilities Emergency (normal hours) call Facilities Management Office, (note call has been made)
