Oregon State Fire Marshal

Fire and Life Safety Competency Recognition Application

By submission of this application, I attest that I have completed all the required training and hold the required certifications as outlined in OAR 837-039-0016 for the level of Competency Recognition I am applying for. Once approved, I understand that I can only perform work within the respective scope of this level.


I also understand that a lapse of any required certification, failure to complete required training or I am no longer employed with my current fire agency that my current level of Competency Recognition will enter into a lapsed status and I cannot perform work within that respective level. I also understand that I must reapply to reactivate my level of Competency Recognition.


I am aware that the Department of the State Fire Marshal may audit to verify compliance at any time.

By signing your name electronically on this Competency Recognition Application you are agreeing that your electronic signature is the legal equivalent of your manual signature. You will receive a copy of this completed application after it has been submitted.

Applicant Information:

Legal Name or Name as you wish to appear on your certificate.

Phone

Street address, City, State, Zip

Application Type:*
Recognition Level:*

*Review required certifications or specialized training for each Recognition Level at https://www.oregon.gov/osfm/Pages/Competency-Certification.aspx

*Select all specialized training or active certificates required for level of application:

Attestation

By submission of this application, the applicant has completed all the training requirements and possesses the required certifications outlined in OAR 837-039-0016. Also, the applicant must continue to meet these requirements to perform work within their current level of Competency Recognition.

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