Fire Forms

On this page you will find the different forms, applications and statements used by the Sullivan County Bureau of Fire.

Just click on the link to preview or print the requested form.

• Accountability ID Tag Request worksheet
• Annual Report of the Fire Department Demographics New 02.2025
• Arson /Sex Offender Background Check Request
• Campus Fire Report
• Cigarette Caused Fire Report
• Emergency Responder Pre-Deployment Checklist
• Equivalent of Fire Fighter 1 statement
• Fire Fighter Tax Credit IT-245 form for 2025
• Fire Service Exposure Form
• Fire Police Guide, Executive Law 845 and Peace Officer Registry
  • Guide for Fire Police updated 10/2022
  • Executive Law 845
  • Peace Officer Registry Form
• Home Heating Fire Report 

NERIS INFORMATION

• NERIS Data Dictionary

• NERIS login

• NERIS Fire Department ID Number
• NERIS Onboarding Help

• New User Account Access Request for LMS  fill this webform to request a New User Account 

OFPC Stipend Forms (forms are form fillable)

• Complete instructions  “How to submit for a Stipend” NEW 06/01/2025

  Application paperwork must be submitted by email to:

   OFPC-Stipend@dhses.ny.gov

• OFPC Stipend Endorsement form NEW 06.01.2025

• OFPC Student Data Form 

PESH FORMS

• Form SH -900.1

• Injury & Illness Report

• Log of Injury & Illness

• SH-900 Injury & Illness Log

• Reasonable Accommodation of a Disability Application

• Red Cross – English
• Red Cross - Spanish

• Ryan White form generic  

• Ryan White form CRMC

• Substitute W-9 form

• Substitute W-9 Form instructions

• Training Authorization form  new 04.2022
• Training History Request From Firefighter/Department
• Update User Personal Information  for LMS  fill this webform to request Update User Personal
• Workmen's Compensation NEW 03.01.2025
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