Forms

Training Forms

Cabrillo College Application

CICCS – Incident Qualifications, VOL

CICCS - Peer Review Application

CZU ICS PQS Request Form 

TR-7 Training Request

TR-7 Instructions

Firefighter Forms

SFM FFI Checklist

SFM FFII Checklist

FFI Intent to Reinstate as a Volunteer

Volunteer Intent to be FFI

Volunteer Forms

OSFM Volunteer FF Checklist

Volunteer Reimbursement Form

Santa Cruz County Volunteer Injury Packet

Volunteer Application

Volunteer Captain Application

Volunteer Driver Application

Volunteer Engineer Application

Volunteer Handbook

Volunteer Request for Leave of Absence

Driver Forms

Competency Course Scoresheet

Driver’s Safety Checklist

Driver’s Taskbook

Driving Evaluation

Maintenance Record

The Golden Circle

Weekly Emergency Report

EMS Forms

EMR Renewal Outline

                   Public Safety First Aid Application

Public Safety First Aid Skills Form

Santa Cruz County EMT Application

San Mateo County EMT Application

State Hiring Packet

***For questions contact: czuhumanresources@fire.ca.gov ***

  1. 0.1. Hiring Checklist
  2. 0.2. Forms Taken
    1. I-9, Employment Eligibility Verification
    2. STD 686, Employee Action Request
    3. CAL FIRE 31, Emergency Notification Info
    4. STD 699-Direct Deposit Enrollment
    5. Payroll Distribution Selection
    6. STD 243, Warrant Designation
    7. STD 261, State Vehicle Authorization
    8. Driver’s License Info
    9. SSA 1945, Social Security Statement
    10. PO-155 Department Incompatible Activities Statement
    11. PO-227 Employee Code of Conduct
    12. Substance Abuse Policy
    13. STD 677 Home Address Nondisclosure
    14. HEP B Vaccine Declination
    15. STD 912 Military Service Declaration
    16. Beneficiary Designation
    17. PERS Beneficiary Designation
    18. PO-107 Reasonable Accommodation Form
    19. STD 689 Oath of Allegiance
    20. CALHR 1070 State Employee Ethnicity Questionnaire
    21. CALHR 875 Leave Election Form
    22. CalPERS Benefit Summary-Info only, don’t submit
    23. BU8 Benefits Rates
    24. HBD-12 Health Benefits Plan Enrollment 
    25. STD 692, Dental Enrollment
    26. STD 702 COBEN Enrollment Election
    27. Dependent Eligibility Responsibilities
    28. CAL HR 782, ACA Notification Checklist
    29. CAL HR 025, ACA Affidavit
    30. AO-448, CalATERS Table Maint. Req.
    31. AO-449, CalATERS Authorization
    32. SCIF Notification-Info only, don’t submit
    33. ACA Health Ins. Marketplace Notice-Info only, don’t submit
    34. ECC Information
    35. DMV INF-1101
    36. PO-302 Employee ID Request Form

State Separation Packet

***For questions contact: czuhumanresources@fire.ca.gov ***

DUE 1 WEEK BEFORE SEPARATION:

  1. FFI Separation Quicklist
  2. PLP Leave Election Form
  3. FFI Waiver of Salary Advance Form
  4. Cobra Continuation Selection Form

DUE BY THE DAY OF SEPARATION:

  1. PPE Checklist
  2. CAL FIRE 212, Seasonal Employee Performance Record
  3. FFI Returnee Inquiry
  4. FFI Exit Survey
  5. CZU Demob Checklist