Fire Defense Board Contact Updates Form

Fire Defense Board Contact Updates Form

This form is used to submit Fire Defense Board chief and alternate updates.

For questions contact the Analytics & Intelligence Unit at 503-934-8250, 877-588-8787 (toll free) or OSFM.DATA@osfm.oregon.gov.

Fire Defense Board County*

Select

Person Submitting Updates

In case we have questions regarding updates.

Name of Person Completing This Form*

Email Address*

Phone Number*

Phone

Type of Update*

Replace a Position

Add an Additional Position

Update a Current Member's Information

Other (please specify)

Please specify which position and who is being replaced (position & name of person being replaced)*

Examples:

Please select all information being updated*

Example: Position, Email, Cell Phone, Last Name, etc.

Select

Other*

Please Specify

Fire Defense Board Position*

Select

Name*

Home Agency*

Select

Cell Phone*

Phone

Work Phone*

Phone

Home Phone

Phone

Dispatch Phone

Phone

Fax

Phone

Email*

Additional Information

If you have more than one fire defense board contact that needs to be updated, please submit a separate form for each position.

Send me a copy of my responses