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NV-LIC Employee Contact Information
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Last, First Name
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Your answer
Call Sign ( Enter "N/A" if you do not have a call sign)
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Your answer
Crew/Engine/Helicopter/Prevention/misc. Resource, GBI, Non-fire Positions work on? example: E-12. If applicable
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Your answer
Your Position
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Your answer
Duty Station ( Where you report each day)
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Your answer
Work Cell ( or cell your will be using while out in the field)
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Your answer
Desk Number
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Your answer
Work Email
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Your answer
Personal Numbers you would like to share?
Your answer
Supervisor's Name (Last, First)
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Your answer
Supervisor's Cell
Your answer
Supervisor's Desk Phone
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Your answer
Agency your employed by
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Your answer
Are you in a Fire Position?
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Yes
No
If a Contractor- Please provide contractors Information.
Your answer
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