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Flashcards in Untitled 1 Deck (70):
1

Form 9

Marital Status, rank, platoon, nok

2

Form 175

Training classes, awards

3

Form 119

Step Increase Dates noted from changes due to Unsatisfactory Ratings

4

OBMS 90

Updates HR of member address change, income tax info

5

Form 14

Outside Employment

6

Form 2.6

Request for Representation by OAG (civli law suits)

7

Form 33.1

Leave and Record Card
Suspension of MIP privilege

8

Form 55

Company Officer Daily Checklist

9

Form 99

placed in the location of a report filed elsewhere. It should have a brief description of the missing report, date, location of report

10

Form 170.3

Metro Alarms (not medical locals) to Sp Ops Div attn Metro Liason through IC

11

Form 126.1

Daily Report Personnel BFC to DFC (DFC uses Form 126)

Used for terrorism training tracking

12

Form 19.2

Request to visit Quarters, permission from BFC

13

Form 151

PT care

14

Form 138.4

Unk

15

Form 127

Training Academy (activities)

16

Form 112

Property Inventory due OCT 15, kept in executed file drawer, updated JAJO, Annual due on OCT 3 with alphabetical list of items charged by class

17

Form 108

Quarterly Report JAJO with monthly

18

Form 180

Language Line, submitted to PIO

19

Form 54.4

Medications to expire in 60 days, Medication to expire checklist filled out the first day of the month by members assuming duty, reviewed by officer

20

Form 2.2

Recommendation to Form 2.2 to AFC as to direction to take charges

21

Form 2

Information to OoC on charges

22

Form 2.1

Notification of Interview (DIB) 7 days prior

23

Form 7

Vehicle Accident Investigation to OoC

24

Form 3.3

Request Personnel File to Compare Punishment (member consent/court order required) made by FTB

25

Form 1199-A

Notification of Charge to AWOL

26

Form 163

Trade, Exchange of Hours, 24 hours in advance

27

SF 71

AL or leave form while on daywork, (civilians use for SL) (FF use for SL for dental or optical appt)Signed SF-71 required if on sick leave restriction or remains on sick leave beyond 3 day period

28

Form 13

OT, filled out for end of Daylight savings

29

Form 11.2

Request for restored AL, attach denied SF-71's

30

Form 44

FF SL certification

31

Form 11

using or declining leave periods filled out 7 days prior to period

32

Form 1199

Request for LWOP (requires Special report with reason and dates),, or advanced leave request

33

Form 44.4 Safety

Injury Reporting Form, typed and submitted by Co Officer w/in 10 days for POD

34

Form 44 Medical

POD form

35

Form 11.4

Request for advanced leave (with special report)

36

Form 11.5

Request for AL to be charged in Lieu of SL (for current pay period concerned)

37

Form 10

Request for Reassignment, valid for Calendar Year

38

Form 44.1 Exposure

Possible Exposure (on or off duty)

39

Form IC-1

Occupational Exposure Incident Report submitted to Infection Control Office

40

Form 44.6

MIP

41

Form 44.5

Tracking (for duty status changes, this will be forwarded to MSO, copy placed in personnel file) SL or POD status entered here

42

Form 158

Annual Report of Admin Leave - Sick (POD) JAN 15 for members who were on POD

43

Form 34

Request to leave Metro Area while on SL, Physican to MSO

44

Form 50.1

(whether or not Unsatisfactory rating is being considered), alont with special report

45

Form 50

Rating form filled out 30 days prior to step increase

Previous months training hours for members

46

Form 50.5

Annual Performance Evaluation, kept for 3 years

47

Form 50.2

Inenctive Pay Form (15, 20, 25, 30 years of service)

48

Form 50.4

For paramedic differential pay calculation

49

Form 40.1

for Retirement, whether seeking extension or not

50

Form 25

Highlights employee’s contribution for Incentive Award

51

Form 67.1

Length of Service Awards, 10, 20, 30, 40 years Before Dec 31 will have form filled out before March 15th Of that Year to PIO, submitted annually

52

Form 54

Training Hours of Members for the preceding Month, uniformed or civilian personnel should have their participation noted in a special report due the 3rd day of the following month

53

Form 175.1

Admin leave for classes, TA, OT for training

54

Form 22

Building Inspection Report, to FPD, Sprinkleror Alarm System OOS, Fire prevention inspection

55

Form 22 AFA

System OOS unable to reset

56

Form 151H

Helicopter Medevac Report filled out within 24 hours

57

Form 45.1

Sprinkler Standpipe Report (to DFC and FPD) In inspection route folders, OR on file in the Co file cabinet in front of the fire prevention inspection route file folders, alphabetically and numerically

58

Form 45

Building Report (to DFC and FPD)In inspection route folders, OR on file in the Co file cabinet in front of the fire prevention inspection route file folders, alphabetically and numerically

59

Form 129

Smoke Detector Waiver Form, to FPD, inventory reported quarterly using JAJO

60

Form 1

Property kept in the top right hand drawer of company desk

61

Form 17

Surplus Accountable Property to be picked up April and October

62

Form 97

Lost or Stolen Property report (special reports will be formulated off of this after investigation from Officer in charge at the time of loss or damage)

63

Form 274

Claim for reimbursement from the department for Personal Property Lost or damaged in performance of duty

64

Form 112.1

Special Inventory when property officer is transferred or retires

65

Form 7

Accident Investigation Form, submitted with safety responsibility form (if injuries occurred)

66

SF 91, SF 94

GSA Vehicle accident packet found in glove compartment

67

Form 4

BN inspection report, 1st Sunday each Month by BFC (reserve engines)

68

Form 122

hose tested annually unless in service less than 1 year, NFPA 1962 Ch 8

69

Form 138

Service Testing (annual and after repairs)

70

Form 17

Repair to Facilities Emergency (normal hours) call Facilities Management Office, (note call has been made)