NV-LIC Employee Contact Information
Last, First Name *
Call Sign ( Enter "N/A" if you do not have a call sign) *
Crew/Engine/Helicopter/Prevention/misc. Resource, GBI, Non-fire Positions work on? example: E-12. If applicable *
Your Position *
Duty Station ( Where you report each day) *
Work Cell ( or cell your will be using while out in the field) *
Desk Number *
Work Email *
Personal Numbers you would like to share?
Supervisor's Name (Last, First) *
Supervisor's Cell
Supervisor's Desk Phone *
Agency your employed by *
Are you in a Fire Position? *
If a Contractor- Please provide contractors Information.
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