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VFD Change Form

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Please correct the field(s) marked in red below:

Madison County Volunteer Fire Department Change Form

Please enter information to change in applicable field (person, pager, etc.)

Member Name must be filled out for all changes, except apparatus

Form Submitted by?
 *
Department Number?
 *
Member Name? (Personnel change only-person to add/delete)
I want to... (1 minimum selection required)
 *
I want to... (1 minimum selection required)
Information to be updated? (Check all that apply)
 *
Information to be updated? (Check all that apply)