Section 9 has blank forms that include:

1. Volunteer Loyalty Oath

This form must be signed by every firefighter and sent in to Pulaski County Emergency Management. This will ensure that the firefighter is covered by Worker’s Compensation. Please keep a copy of the signed Loyalty Oath for your files.

2. Emergency Services Volunteer Roster

This form is used to list all firefighters who have signed the Loyalty Oath on file. Anytime a volunteer firefighter joins your department or quits, you need to revise this form and sent it in to Pulaski County Emergency Management.

3. Worker’s Compensation Forms

Included are all the Worker’s Compensation forms that are needed if a firefighter is injured. Included are instruction sheets explaining how to fill out each form. Forms “N” and “First Report of Injury or Illness” must be filled out. Please notify Pulaski County Emergency Management at 340-6911 immediately of any firefighter injury. Also, please return the completed Worker’s Compensation forms to Pulaski County Emergency Management within 2 days after the injury.