Fla. Admin. Code R. 69A-37.039

Current through Reg. 50, No. 222; November 13, 2024

Section 69A-37.039 - Prescribed Forms for Training and Certification

(1) Information required by the Bureau in this chapter shall be furnished on-line at www.floridastatefirecollege.org. The information required at www.floridastatefirecollege.org is based on prescribed forms set forth below and incorporated herein. The forms can also be obtained:

(a) From fire departments or training centers;

(b) By writing to the Bureau, 11655 North West Gainesville Road, Ocala, Florida 34482-1486; or

(c) By downloading them from the website at www.myfloridacfo.com/Division/SFM/BFST.

(2) The following forms are hereby adopted and incorporated by reference in this rule:

(a) DFS-K4-1016, http://www.flrules.org/Gateway/reference.asp?No=Ref-12659, eff. 12/20, "Application for Firefighter Certification Examination."

(b) DFS-K4-1019, rev. 3/09, "Fee Information/Application and Fingerprint Card Instructions."

(c) DFS-K4-1022, http://www.flrules.org/Gateway/reference.asp?No=Ref-10097, rev. 01/18, "Medical Examination to Determine Fitness for Firefighter Training."

(d) DFS-K4-1023, https://www.flrules.org/Gateway/reference.asp?No=Ref-01465, rev. 06/12, "Application for Firesafety Inspector Certification Examination."

(e) DFS-K4-1026, rev. 03/09, "Roster of Students."

(f) DFS-K4-1028, http://www.flrules.org/Gateway/reference.asp?No=Ref-12660, eff. 12/20, "Verification of Training Hours/Firefighter I and II."

(g) DFS-K4-1033, rev. 03/09, "Notice of Termination of Employment as a Firefighter."

(h) DFS-K4-1038, rev. 07/14, http://www.flrules.org/Gateway/reference.asp?No=Ref-04760, "Release and Waiver of Liability."

(i) DFS-K4-1308, http://www.flrules.org/Gateway/reference.asp?No=Ref-12661, eff. 12/20, "Application for Practical Examination for Retention of Firefighter Certification."

(j) DFS-K4-1309, http://www.flrules.org/Gateway/reference.asp?No=Ref-12662, eff. 12/20, "Preliminary Equivalency Application Firefighter Minimum Curriculum Requirements."

(k) DFS-K4-1390, rev. 03/09, "Application for Special Certificate of Compliance for Administrative & Command Head of a Fire/Rescue/EmergencyServices Organization."

(l) DFS-K4-1438, http://www.flrules.org/Gateway/reference.asp?No=Ref-08170, rev. 3/17, "Application for Fire Investigator Certification."

(m) DFS-K4-1442, rev. 03/09, "Firefighters Supplemental Compensation Program Request for Upgrade from Associate Level to Bachelor Level."

(n) DFS-K4-1446, rev. 03/09, "Application for Firesafety Inspector II Certification."

(o) DFS-K4-1447, http://www.flrules.org/Gateway/reference.asp?No=Ref-03360, rev. 07/13, "Application for Fire Officer I Certification."

(p) DFS-K4-1448, http://www.flrules.org/Gateway/reference.asp?No=Ref-03362, rev. 07/13, "Application for Fire Officer II Certification."

(q) DFS-K4-1451, rev. 03/09, "Application for Instructor I Certification."

(r) DFS-K4-1452, rev. 03/09, "Application for Instructor II Certification."

(s) DFS-K4-1453, rev. 03/09, "Application for Instructor III Certification."

(t) DFS-K4-1455, rev. 03/09, "Application for Single Course Exemption Instructor Certification."

(u) DFS-K4-1456, rev. 03/09, "Application for Fire and Lifesafety Educator Certification Examination."

(v) DFS-K4-1457, rev. 03/09, "Application for Fire Apparatus Pump Operator Certification Examination."

(w) DFS-K4-1463, https://www.flrules.org/Gateway/reference.asp?No=Ref-01466, rev. 06/12, "Certification Renewal Application Inspector/Instructor."

(x) DFS-K4-2085, eff. 04/13, http://www.flrules.org/Gateway/reference.asp?No=Ref-03076, "Application for Fire Code Administrator Certification."

(y) DFS-K4-2104, http://www.flrules.org/Gateway/reference.asp?No=Ref-03363, eff. 07/13, "Application for Fire Officer III Certification."

(z) DFS-K4-2105, http://www.flrules.org/Gateway/reference.asp?No=Ref-03364, eff. 07/13, "Application for Fire Officer IV Certification."

(aa) DFS-K4-2106, http://www.flrules.org/Gateway/reference.asp?No=Ref-03365, eff. 07/13, "Fire Officer I Task Book."

(bb) DFS-K4-2107, http://www.flrules.org/Gateway/reference.asp?No=Ref-03366, eff. 07/13, "Fire Officer II Task Book."

(cc) DFS-K4-2108, http://www.flrules.org/Gateway/reference.asp?No=Ref-03367, eff. 07/13, "Fire Officer III Portfolio Workbook."

(dd) DFS-K4-2109, http://www.flrules.org/Gateway/reference.asp?No=Ref-03368, eff. 07/13, "Fire Officer IV Portfolio Workbook."

(ee) DFS-K4-2105, http://www.flrules.org/Gateway/reference.asp?No=Ref-03364, eff. 07/13, "Application for Fire Officer IV Certification."

(ff) DFS-K4-2138, "Health and Safety Officer Task Book," http://www.flrules.org/Gateway/reference.asp?No=Ref-05016, eff. 08/14.

(gg) DFS-K4-2139, "Incident Safety Officer Task Book," http://www.flrules.org/Gateway/reference.asp?No=Ref-05015, eff. 08/14.

(hh) DFS-K4-2140, "Application for Health and Safety Officer Certificate of Completion," http://www.flrules.org/Gateway/reference.asp?No=Ref-05014, eff. 08/14.

(ii) DFS-K4-2141, "Application for Incident Safety Officer Certificate of Completion," http://www.flrules.org/Gateway/reference.asp?No=Ref-05013, eff. 08/14.

(jj) DFS-K4-2142, "Application for Safety Officer Certificate of Competency," http://www.flrules.org/Gateway/reference.asp?No=Ref-05012, eff. 08/14

(kk) DFS-K4-2148, http://www.flrules.org/Gateway/reference.asp?No=Ref-07044, "Confined Space Rescue Operations Task Book," eff. 04/16.

(ll) DFS-K4-2149, http://www.flrules.org/Gateway/reference.asp?No=Ref-07045, "Confined Space Rescue Technician Task Book," eff. 04/16.

(mm) DFS-K4-2150, http://www.flrules.org/Gateway/reference.asp?No=Ref-07046, "Rope Rescue Operations Task Book," eff. 04/16.

(nn) DFS-K4-2151, http://www.flrules.org/Gateway/reference.asp?No=Ref-07047, "Rope Rescue Technician Task Book," eff. 04/16.

(oo) DFS-K4-2152, http://www.flrules.org/Gateway/reference.asp?No=Ref-07048, "Structural Collapse Rescue Operations Task Book," eff. 04/16.

(pp) DFS-K4-2153, http://www.flrules.org/Gateway/reference.asp?No=Ref-07049, "Structural Collapse Rescue Technician Task Book," eff. 04/16.

(qq) DFS-K4-2154, http://www.flrules.org/Gateway/reference.asp?No=Ref-07050, "Trench Rescue Operations Task Book," eff. 04/16.

(rr) DFS-K4-2155, http://www.flrules.org/Gateway/reference.asp?No=Ref-07051, "Trench Rescue Technician Task Book," eff. 04/16.

(ss) DFS-K4-2156, http://www.flrules.org/Gateway/reference.asp?No=Ref-07052, "Vehicle/Machinery Rescue Operations Task Book," eff. 04/16.

(tt) DFS-K4-2157, http://www.flrules.org/Gateway/reference.asp?No=Ref-07053, "Vehicle/Machinery Rescue Technician Task Book," eff. 04/16.

(uu) DFS-K4-2160, http://www.flrules.org/Gateway/reference.asp?No=Ref-07054, "Application for Hazardous Materials Technician Certificate of Competency," eff. 04/16.

(vv) DFS-K4-2161, http://www.flrules.org/Gateway/reference.asp?No=Ref-07055, "Application for FLUSAR Rescue Specialist Certificate of Completion," eff. 04/16.

(ww) DFS-K4-2167, http://www.flrules.org/Gateway/reference.asp?No=Ref-07056, "Class Offering Request," eff. 04/16.

(xx) DFS-K4-2168, http://www.flrules.org/Gateway/reference.asp?No=Ref-07057, "Instructor Approval Request," eff. 04/16.

(yy) DFS-K4-2171, http://www.flrules.org/Gateway/reference.asp?No=Ref-08171, "Fire Investigator Task Book," eff. 1/17.

(zz) DFS-K4-2175, http://www.flrules.org/Gateway/reference.asp?No=Ref-08172, "Fire Investigator Portfolio," eff. 1/17.

(aaa) DFS-K4-2174, "Application for Firefighter Assistance Grant Program," http://www.flrules.org/Gateway/reference.asp?No=Ref-08003, eff. 7/16.

(bbb) Form DFS-K4-2191, "Florida Fire Service Needs Assessment," http://www.flrules.org/Gateway/reference.asp?No=Ref-08002, eff. 1/17.

(ccc) DFS-K4-2202, "Application for Lifetime Firefighter Designation," http://www.flrules.org/Gateway/reference.asp?No=Ref-09073, eff. 01/18.

(ddd) Form DFS-K4-2206, "Aircraft Rescue and Fire Fighting (ARFF) Driver Task Book," eff. 01/19, http://www.flrules.org/Gateway/reference.asp?No=Ref-12462.

(eee) Form DFS-K4-2207, "Aircraft Rescue and Fire Fighting (ARFF) Officer Portfolio Workbook," eff. 01/19, http://www.flrules.org/Gateway/reference.asp?No=Ref-12463.

(fff) Form DFS-K4-2208, "Aircraft Rescue and Fire Fighting (ARFF) Firefighter Task Book," eff. 01/19, http://www.flrules.org/Gateway/reference.asp?No=Ref-12464.

(ggg) DFS-K4-2300, http://www.flrules.org/Gateway/reference.asp?No=Ref-12663, eff. 12/20, "Application for Firefighter Cancer Decontamination Equipment Grant Program."

(hhh) Form DFS-K4-2204, "Firesafety Inspector II Task Book," eff. 02/21, http://www.flrules.org/Gateway/reference.asp?No=Ref-12901.

(iii) Form DFS-K4-2205, "Application for Firesafety Inspector III Certification," eff. 02/21, http://www.flrules.org/Gateway/reference.asp?No=Ref-12902.

Fla. Admin. Code Ann. R. 69A-37.039

Rulemaking Authority 633.104, 633.128(1), 633.135(3), 633.137(3), 633.216(9), 633.406(2), 633.408, 633.418(1), 633.508(2) FS. Law Implemented 633.112(1), 633.128, 633.135, 633.137, 633.138, 633.216, 633.406, 633.408, 633.412, 633.415, 633.418, 633.508(2) FS.

New 9-7-81, Formerly 4A-37.20, 4A-37.39, Amended 11-26-85, 1-3-90, 6-30-91, 3-20-95, 9-13-98, 12-10-01, Formerly 4A-37.039, Amended 3-19-09, 8-27-12, 8-20-13, 11-18-13, Amended by Florida Register Volume 41, Number 022, February 3 effective 2/15/2015, Amended by Florida Register Volume 42, Number 125, June 28, 2016 effective 7/13/2016, Amended by Florida Register Volume 43, Number 035, February 21, 2017 effective 3/7/2017, Amended by Florida Register Volume 43, Number 085, May 2, 2017 effective 5/18/2017, Amended by Florida Register Volume 44, Number 025, February 6, 2018 effective 2/19/2018, Amended by Florida Register Volume 44, Number 244, December 18, 2018 effective 1/1/2019, Amended by Florida Register Volume 46, Number 251, December 29, 2020 effective 1/11/2021, Amended by Florida Register Volume 47, Number 016, January 26, 2021 effective 2/8/2021, Amended by Florida Register Volume 47, Number 071, April 13, 2021 effective 4/29/2021.