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| JOIN US |
Please complete and return all documents listed below. A hard copy can be obtained from the Clallam County Fire
Application
Criminal History Background Check
Department Physical (Clallam Bay Clinic - fee billed to CCFD5)
Direct Deposit Form
Driving Record Request
Optional Pension Plan
Self Contained Breathing Apparatus (SCBA) Medical Usage Form
I-9 Form
W-4 Form
EQUAL OPPORTUNITY EMPLOYER
Clallam County Fire District #5 is an Equal Opportunity Employer and complies with all Federal and State
laws and regulation and does not discriminate on the basis of race, ethnicity, national origin, sex, sexual
orientation, genetics, religion, age, disability and/or veteran status.
An application is not a contract and is not a guarantee of employment with Clallam County Fire District #5
Application
Criminal History Background Check
Department Physical (Clallam Bay Clinic - fee billed to CCFD5)
Direct Deposit Form
Driving Record Request
Optional Pension Plan
Self Contained Breathing Apparatus (SCBA) Medical Usage Form
I-9 Form
W-4 Form
EQUAL OPPORTUNITY EMPLOYER
Clallam County Fire District #5 is an Equal Opportunity Employer and complies with all Federal and State
laws and regulation and does not discriminate on the basis of race, ethnicity, national origin, sex, sexual
orientation, genetics, religion, age, disability and/or veteran status.
An application is not a contract and is not a guarantee of employment with Clallam County Fire District #5