Palmyra, NY · Wayne County
Fire Department Application for Membership
This application lets people request membership in the Village of Palmyra Fire Department and provide contact, work, health, and training information.
What this form is
Use this application to request membership in the Village of Palmyra Fire Department. It asks for your contact and employment details, date of birth, known medical conditions or disabilities, and relevant prior training. The applicant agrees to follow department regulations and bylaws and acknowledges an interview and a required background check by the Wayne County Sheriff’s Department.
Who needs it
Anyone requesting membership in the Village of Palmyra Fire Department should complete this 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 without a notary; the applicant, and a parent or guardian if the applicant is under 18, signs and dates it.
How to submit this form
- 1
Download The Application
Download the Fire Department Application for Membership.
- 2
Complete The Application
Provide the requested contact, employment, health, and training information.
- 3
Sign And Date
Sign and date the application; applicants under 18 also need 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 Department Application for Membership?
- No. This application is signed without a notary. The applicant signs and dates it; a parent or guardian also signs and dates it if the applicant is under 18.
- How do I submit the Fire Department Application for Membership?
- Submit it to the city department named on the form; check the city website for current contact details.
- What information does the membership application request?
- It asks for contact and employment details, date of birth, known medical conditions or disabilities, and prior training that may benefit the department.
- What happens after I request membership?
- The form says applicants will be interviewed by department officers and must pass a background check done by the Wayne County Sheriff’s Department.