VOLUNTEER MOVE/CHANGE PROCESS. Volunteer Action Form is used to complete the following: To change companies or join a second company:

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1 VOLUNTEER MOVE/CHANGE PROCESS Vlunteer Actin Frm is used t cmplete the fllwing: Change name, address, phne number r Change vlunteer status, e.g. add rank/title, member classificatin change (B t A r Jr. t regular), cmpany transfers, r secnd cmpany membership T change cmpanies r jin a secnd cmpany: Cmplete persnal data, cntact data and actins sectin f the Vlunteer Actin Frm shwing mve frm cmpany X t cmpany Y signed by bth lsing and gaining chief Cmplete Permissin t Release Infrmatin (must be ntarized) Cpy f letter frm Virginia Office f Emergency Medical Services indicating that applicant has been apprved if changing cmpanies Cpy f Driver s License if nne submitted in riginal applicatin DMV Drivers Histry (fr thse ver 18) if nne submitted in riginal applicatin When changing cmpanies a vlunteer physical may be required at the discretin f the vlunteer cmpany r if a physical was never cmpleted with riginal applicatin A new member applicatin may be required if ne is nt n file

2 All dcuments are submitted t the cmpany recruiter fr review Vlunteer Cmpany wner f Agency License fr the gaining cmpany gives vlunteer an apprved fingerprint card. Vlunteer cmpletes card and btains fingerprints. See slides 3 thrugh 5 fr fingerprint prcessing instructin. Vlunteer Cmpany submits fingerprints t Virginia Office f Emergency Medicine (OEMS) fr apprve/reject decisin. Actin Frm package t New Member Orientatin (NMO) crdinatr with a cpy f the apprval letter frm OEMS During Wednesday night NMO frm 6 t 9 p.m. Weekdays between 8 a.m. and 12 p.m. Vlunteer cmpany president, chief and recruiter are ntified if additinal infrmatin is required.

3 Instructins fr Cmpleting Fingerprinting Card If frm des nt have a tracking number it will be rejected by EMS 1. Name (NAM) blck: Enter applicant s last name, first name, and middle name in that rder in this space. Be sure t write ut the middle name. Suffix denting senirity (Jr., Sr., III) shuld fllw the name. 2. Als Knwn As (AKA) blck: Enter ther names the applicant has used, especially maiden names and r previus married names. 3. Applicant s Signature blck: The applicant must sign this blck in the presence f the persn taking the fingerprints. 4. Applicant Address blck: Enter the applicant cmplete physical address. 5. Date f Birth (DOB) blck: Enter the applicant s date f birth in the frmat mmddyyyy. 6. Sex blck: F fr female, M fr male.

4 7. Race (RAC) blck: Select ne f the crrespnding alphabetic cdes: CODE I A B W RACE Native American Asian Black Caucasian/Latin 8. Height (HGT) blck: Enter the applicant s height in feet and inches. Rund ff fractins t the nearest inch. 9. Weight (WGT) blck: Enter the applicant s weight in punds. 10. Clr (EYES) blck: Select the crrect clr frm the table: Clr Cde Clr Cde Clr Cde Clr Cde Clr Black BLK Blue BLU Brwn BRO Gray GRY Multiclr MUL Green GRN Hazel HAZ Marn MAR Pink PNK Unknwn XXX Cde 11. Clr (HAIR) blck: Select the clr frm the table Clr Cde Clr Cde Clr Cde Clr Cde Clr Cde Bald BAL Black BLK Blnde BLN Blue BLU Brwn BRO Green GRN Grey GRY Orange ONG Purple PLE Pink PNK Auburn RED Sandy SDY White WHI //////// //////// //////// /////

5 12. Place f Birth (POB) blck: Enter the state where the applicant was brn. 13. Scial Security Number (SOC) blck: Enter the applicant s scial security number. 14. Date Fingerprinted blck: Enter the date the applicant is fingerprinted 15. Signature f persn taking fingerprints. The fingerprinter (nt applicant) signs in this blck 16. Emplyer and address blck: Enter the name and address f the licensed EMS agency the applicant is seeing affiliatin; emplyment with, and the mailing address f the licensed EMS agency. 17. Reasn fingerprinted blck: Enter either vlunteer r career EMS agency affiliatin in this blck. NOTE: D nt fld cards at any time. Creases in the fingerprint card will results in them nt being able t be prcessed Items 1-17 abve are all required. Missing infrmatin will results in card nt being able t be prcessed Items 1-17 shuld be entered r printed n the card in black ink ONLY. Once all infrmatin abve is entered cmpletely and fingerprints are btained, send the card t: Virginia Office f Emergency Medical Services 1041 Technlgy Park Drive Glen Allen, VA 23059

6 Additinal infrmatin abut the backgrund check prcess is available in the FAQ dcument fund in the dcument belw. Click n the link belw FAQ sheet Virginia OEMS (Right click n this link and select Open Hyperlink and then select OK. Click n the Explrer icn which will be flashing t pen the dcument.) Department physical frms sent t vlunteer if new physical required and vlunteer schedules with medical facility Ntificatin sent t vlunteer, vlunteer recruiter, cmpany president and chief when physical is cmplete as necessary Vlunteer is ntified t cme t New Member Prcessing t receive new badges New Member Prcessing is held first and third Wednesday f the mnth 210 Hspital Drive, Warrentn, VA

7 Ntificatin sent t vlunteer, vlunteer recruiter, cmpany president and chief when change is cmplete NMO Crdinatr mves the vlunteer infrmatin frm ld t new cmpany in the membership data files NMO Crdinatr sends Vlunteer Actin Frm t Fauquier Fire and Rescue main ffice with request t mve riginal vlunteer file frm ld cmpany t new cmpany r indicate member nw belngs t mre than ne cmpany in the vlunteer applicatin file Vlunteer Actin Frm (Right click n this link and select Open Hyperlink and then select OK. Click n the Explrer icn which will be flashing t pen the dcument.)

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