State Fire Training

State Fire Training Mail to: Cashier, PO Box 997446, Sacramento, CA 95899-7466 Phone (916) 445-8444

Fee Schedule - Certification #

Job Function Certifications Chief Officer (retiring 12/31/2018) Chief Fire Officer (NEW) Company Officer Community Risk Educator Community Risk Specialist Community Risk Officer Executive Chief Fire Officer (NEW) Fire Apparatus Driver/Op. Pump Fire Apparatus Driver/Op. Aerial Fire Apparatus Driver/Op. Tillered Fire Apparatus Driver/Op. Wildland Fire Apparatus Driver/Op. Water Tender Fire Fighter I* (2013) (CA certificate only) *Add IFSAC/Pro Board Seals

Fire Fighter II (2013) (CA certificate only) Fire Inspector I

☐ ☐ ☐ ☐ ☐ ☐ ☐

Each $90 $90 $65 $65 $65 $65 $90 $65 $65 $65 $65 $65 $40 $40 $40 $65

Total

#

Job Function Certifications Fire Inspector II Fire Investigator (NEW) Fire Investigator I (retiring 12/31/2018) Fire Investigator II (retiring 12/31/2018) Fire Marshal (retiring 12/31/2018) Fire Mechanic I Fire Mechanic II Fire Mechanic III (Master Mechanic) Fire Mechanic Recertification Hazardous Materials Technician Hazardous Materials Specialist Instructor I Instructor II Instructor III Plan Examiner (2015) (NEW)

Certification Reciprocity/Upgrade Review Acct Code: 5921-59210-142500-17 Fire Fighter I Reciprocity/Upgrade review fee Certification Examination: Feedback Acct Code: 5921-59210-142500-18 Certification Examination – Written Examination Feedback fee Certification Examination Acct Code: 5921-59210-142500-15 Fire Fighter I Certification Examination – Consecutive/Integrated Fire Fighter I Certification Examination - Modular Fire Fighter I Certification Examination – Retake Fee PACE IV Review (Peer Assessment for Fire Chief) Acct Code: 5921-59210-142500-23 Fire Chief Application/CPSE Fire Chief Application Pace IV Interview Duplicate Certification Certificate Acct Code: 5921-59210-142500-23 #

*Only for certifications listed above. Order course completion certificates on Pg 2.

Certificate Title: Certificate Title:

Each $65 $65 $65 $65 $65 $65 $65 $65 $60 $65 $65 $65 $65 $65 $65

Total

Acct Code: 5921-59210-142500-23 Each Reciprocity total

$60 Each

Feedback total

$250 Each

Cert. Exam total

$10 $10 p/mod $10 p/retake Each

PACE IV total

$250 $250 Each

Dup. Cert total

$35 Date Issued: Date Issued: Grand Total Submitted:

I, the undersigned, am the person applying for certification. I hereby certify under penalty of perjury under the laws of the State of California, that all of the statements made herein are true in every respect. I understand that misstatements, omissions of material facts, or falsification of information or documents may be cause for rejection.

Signature: ______________________________________ Full Name: Agency: Home Address: SFT ID #: Email: January 2018

Date: ____________________ Home/Cell Phone: Agency Phone: City/State/Zip: Last 4 digits SSN #: FDID#(for FF appl. Only):

 Fee Schedule must be signed and must include non-refundable payment. 

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