Willard Fire & Rescue
Pride     Perfection     Professionalism
Send forms to the Compliance Officer via:
Email:     [email protected]
Fax:         419.933.7800
Mail:      Willard Fire & Rescue
                 425 Fort Ball Rd, PO Box 367
                 Willard, OH  44890

EMS Forms

Form 1008 Notice of Privacy Practices
File Size: 333 kb
File Type: pdf
Download File
Form 1103 Physician Certification Statement Form & Attestation Statement
File Size: 185 kb
File Type: pdf
Download File
Form 1012 Patient Request for Amendment of PHI
File Size: 220 kb
File Type: pdf
Download File
Ohio Do Not Resuscitate (DNR) Form
File Size: 22 kb
File Type: pdf
Download File
Form 1010 Patient Request for Access to PHI
File Size: 636 kb
File Type: pdf
Download File
Still have questions?  Contact the Compliance Officer:
Email:    [email protected]
Phone:  419-935-8297     Ext# 1343 (Compliance Officer)

Fire Forms

Know Ohio's Open Burning Regulations
File Size: 927 kb
File Type: pdf
Download File
Open Burning Notification Form
File Size: 155 kb
File Type: pdf
Download File
Open Burning - What Not to Burn
File Size: 517 kb
File Type: pdf
Download File
Open Burning Permission Request Form
File Size: 169 kb
File Type: pdf
Download File
Open Burning Notification for Horticultural or Forestry Form
File Size: 142 kb
File Type: pdf
Download File

Student & Observer Forms

Student & Observer Forms (Clinicals)
File Size: 651 kb
File Type: pdf
Download File

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