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Fire Service Resource Form

Department Personnel Demographics

Total number of personnel actively responding to EMS emergencies that are licensed by IDPH to provide patient care. This number can include firefighters, engineers, and EMS personnel.
Total number of personnel currently certified as Instructor I, II, or III.
Total number of personnel currently licensed by IDPH as an EMS instructor.
Total number of personnel currently certified as Arson Investigator.

Apparatus Demographics

Below you find a survey concerning your apparatus. Please include all apparatus you have available and as much information concerning special equipment as possible. Please use the format: Apparatus Number / Seating / Gallons Carried / Special Information. (EXAMPLE: Engine 2000 / 6 seats / 1000 GAL/1500 GPM / RIT) If you reach a section of the survey you do not have, just put N/A.
Please list each Engine, Staffing Capability (number of seats) and amount of water carried. Please include any additional information that would be of benefit such as extrication, rescue, active shooter, RIT or other special equipment carried.
Please list each Truck, Staffing Capability (number of seats) and amount of water carried. Please include any additional information that would be of benefit such as extrication, rescue, active shooter, RIT or other special equipment carried.
Please list each Tender, staffing capability (number of seats) and amount of water carried. Please include any additional information that would be of benefit such as special equipment carried and pumping capability.
Please list each Brush Engine/UTV, staffing capability (number of seats) and amount of water carried. Please include any additional information that would be of benefit such as special equipment carried.
Please list each Ambulance, staffing capability (number of seats). Please include any additional information that would be of benefit such as special equipment carried.
Please list each squad and level of capability. Please include any additional information that would be of benefit such as special equipment carried. If you have already listed the vehicle in another section do not list it again (example: Licensed Non-Transport Engine).
Please list each licensed EMS non-transport vehicles, staffing capability (number of seats). Please include any additional information that would be of benefit such as special equipment carried. If you have already listed the vehicle in another section do not list it again (example: Licensed Non-Transport Engine).
Please list each Command / Chief vehicle and staffing capability (number of seats). Please include any additional information that would be of benefit such as special equipment carried. If you have already listed the vehicle in another section do not list it again (example: Licensed Non-Transport EMS).
Please list each support vehicle and staffing capability (number of seats). Please include any additional information that would be of benefit such as special equipment carried. If you have already listed the vehicle in another section do not list it again (example: Licensed Non-Transport EMS).
Please list each special resource your Department has. This could include specialized units such as REHAB, Boats, Dive Trailers, HAZMAT equipment trailers, ect. Please include any additional information that would be of benefit such as special equipment carried. If you have already listed the vehicle in another section do not list it again.
Please list each any reserve engines, trucks or apparatus that are considered RESERVE only that you have not previously listed.
Use this section to list any other special resource, capability, or information that you would like to include.