Palmyra, NY · Wayne County
Fire Company, Inc. Application for Membership
This application lets people request membership in the Palmyra Fire Company, Inc. and provide personal, employment, and medical information.
What this form is
People use this application to request membership in the Palmyra Fire Company, Inc. It asks for contact and employment details, a driver license number, date of birth, and known medical conditions or disabilities. Applicants agree to follow company regulations and bylaws; the form states that first-year dues of $5 must accompany the application or be presented at the interview, and that an interview and background check are required.
Who needs it
Anyone requesting membership in the Palmyra Fire Company, Inc. should complete the application; applicants under 18 also need a parent or guardian signature.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This application is signed and dated without a notary; the applicant and, if under 18, a parent or guardian sign and date it.
How to submit this form
- 1
Download The Application
Download the Palmyra Fire Company, Inc. Application for Membership.
- 2
Complete The Applicant Information
Fill in the requested personal, contact, employment, and medical information.
- 3
Sign And Date The Application
Sign and date the application; if under 18, obtain a parent or guardian signature and date.
- 4
Submit The Application
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Fire Company membership application?
- No. This application is signed and dated without a notary. Applicants under 18 also need a parent or guardian to sign and date it.
- How do I submit the Fire Company membership application?
- Submit it to the city department named on the form; check the city website for current contact details.
- What information does the application ask for?
- It requests contact, address, driver license, birth date, employer, and medical-condition information, along with applicant signatures.
- Is there a fee for the first year?
- The application states that $5 for the first year's dues must accompany the application or be presented at the time of the interview.
