Form Instructions

Job Title – Your working title (Forester, Forest Technician, Tractor Operator, Hummer Operator, Firefighter, Hotshot)

Employment Status

• PFT – Full-time VDOF
• EFF – Emergency Firefighter, Firefighters, Crewboss tractor and hummer operators, patrolmen, Local Forest Wardens, Dispatchers, Aerial Observers

State-NWCG – VA-VAS

Org Level 1 – VDOF

Org Level 2 – Region, Central Office, State Forest Or Forestry Center

Org Level 3 – County

Org Level 4 – Leave Blank

Station Address – VDOF county address, all Central Office personnel use Central Office address

Jet Port – Leave blank

Height, Weight, Blood Type, Allergies, Medications, Clothing Sizes – Optional

Emergency Contact Information – This will show on your card. Helpful when emergency contact needs to be made. Include phone number and name of contact.

• A – Arduous
• M – Moderate
• L – Light
• N – None

Certifier – Who administered the test to you.

Effective Date – Date you took the test.

Please report only wildfire related training.

Score, Instructor, and hours are optional.

Priority and planned date is only for future training which you have scheduled.

Type – JOB will be entered for all positions qualified for. If you are qualified as a trainee only you will enter TRN.

Qual – If you have been issued a red card in the past, list positions which have been on the card and the date you were qualified for the position.

In order for your qualifications to print on the red or green card, a number needs to be entered in the position priority column.

Part-time personnel will include whatever you are qualified for from the list below. You will have both the state qualifications and national qualification if you have passed the arduous test for national dispatch.

Incident Command Abbreviations: Part-time VDOF Employees

• VENG1 - Virginia Engine Operator 1
• VENG2 - Virginia Engine Operator 2
• VENG3 - Virginia Engine Operator 3
• VFF1 - Virginia Firefighter 1
• VFF2 - Virginia Firefighter 2
• VFF3 - Virginia Firefighter 3
• VSR1 - Virginia Single Resource 1
• VSR2 - Virginia Single Resource 2
• VTPL2 - Virginia Tractor Operator 2
• VTPL3 - Virginia Tractor Operator 3

Incident Command Abbreviations: Full-time VDOF Employees (In-State or National Dispatch) AND National Dispatch – Part-time)

• FFT2 - Firefighter
• FFT1 - Squad Boss
• CRWB - Crew Boss
• ICT4 - Initial Attack Incident Commander
• ICT3 - Extended Attack Incident Commander
• ICT2 - Type II Incident Commander
• FALA - Faller Class A
• FALB - Faller Class B
• FALC - Faller Class C
• TPL1 - Tractor Operator
• ENOP - Engine Operator
• ENGB - Engine Boss
• STDZ - Dozer Strike Team Leader
• STCR - Crew Strike Team Leader
• STEN - Engine Strike Team Leader
• TFLD - Task Force Leader
• DIVS - Division Supervisor
• OSC - Operations Chief
• AERO - Aerial Observer
• LSC - Logistics Chief
• IOF - Information Officer, Type 1, 2 or 3
• PSC - Plans Chief
• SOF - Safety Officer Type 1, 2, or 3
• AOBD - Air Operations
• EDRC - Dispatch Recorder
• EDSD - Supervisory Dispatcher
• IADP - nitial Attack Dispatcher
• EMTB - Emergency Medical Technician Basic
• EMTI - Emergency Medical Technician Intermediate
• EMTP - Emergency Medical Technician Paramedic
• FINV - Fire Investigator
• CTSP - Computer Technical Specialist
• GMEC - General Mechanic
• SMEC - Small Engine Mechanic
• HCEM - Helicopter Crew Member
• LOAD - Loadmaster
• RXB2 - Prescribed Fire Burn Boss Type 2
• THSP - Prevention Specialist

We want to record all fire experience during the last 5 years. Use your best estimate on this.

Type – Enter JOB for all fire experience unless you worked a fire as a trainee for a position.

Qual – On all initial attack fires and extended attack fires enter the fire position you served as. Choose from the above list.

Risk – WF for wildfire

Incident Number –

• Use the year for initial attack fires (2005)
• For larger fires, enter name of fire (McClung, Afton, Davis Creek, Purgatory etc).
• For out of state fire assignments, use the following example designations:

Examples – Montana 1994: MT1994; Texas 1996: TX1996; California 1996: CA1996; Florida 1998: FL1998; Texas 1998: TX1998; South Carolina 1999: SC1999; Kentucky 1999: KY1999; Texas 1999: TX1999

Experience Date – For all initial attack fires leave blank. For larger fires and out of state assignments enter month and year.

Operational Periods

For all initial attack fires enter number of fires that you served on during the year. This will be further broken down by position that you served as indicated above.

For large fires and out of state assignments leave blank.