Final Wishes and Contact Information Forms
The National Fallen Firefighters Foundations has developed an Employee Emergency Contact Information form.
Purpose of form: The information in this form provides guidance to your Fire Chief regarding your wishes to be carried out upon your death.
Instructions for completing this Final Request Form: Before completing this form, read each statement carefully, after you have read the form, complete each item on this form. If the item does not apply or you prefer not to provide the Information, specify by writing ‘N/A’ to the item. Please print or type.
After completing the form place it in a sealed envelope labeled Emergency Contact Information and request it be placed in your personnel file.
