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Katherine Daves

KDaves@vbgov.com

Request for Rescue Squad Transfer Application

Full Name

Squad Information

Date of Application

Date Picker

*Requested Date of Transfer

Date Picker

Please take the opportunity to update your information if it has changed (if not you may skip this section):

Full Address

Current Role (please select one)

Are you under disciplinary action, investigation, or suspension within your current Rescue Squad? (please select one)

Have you informed your current Squad’s leadership of your request to transfer to another Squad? (please select one)

Have you reached out to the leadership at your requested Squad to discuss this transfer? (please select one)

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