Incident Safety Officer

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Incident Safety Officer

DATES:

Start Date September 24, 2026

Course Number: 26-1106-17

Total Hours: 16 hours

INSTRUCTIONS: Please complete this form and return it to the Training Academy. All prerequisites will be verified by the course coordinator prior to acceptance into the course.

PRE-REQUISITES:

NJDFS FIREFIGHTER 1

Course Fee:

Middletown Township: No Fee

Outside Departments: $ 250.00

Course Coordinator: D. D'Arcy

****Registration Deadline: Friday September 18, 2026***

Email *

Application Date: *

YYYY

First Name: *

Last Name: *

Date of Birth: *

YYYY

NJ DFS#: *

FEMA SID #

Phone #: *

Fire Company: *

Department/Agency: *

Course Title: *

Please contact me via: *

Telephone

Required

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