NEW JERSEY DEPARTMENT OF COMMUNITY AFFAIRS DIVISION OF FIRE SAFETY - FIRE DEPARTMENT SURVEY

PART ONE

Fire Department Name: *

Chief Name: *

FDID #: *

Street Number: *

FD Address: *

FD Address/PO Box:

City: *

State: *

Zip Code: *

County: *

Municipality: *

Chief's Email Address *

List ALL Local Enforcing Agency #'s that your Fire Department provides Suppression: *

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Main Phone Number: *

Cell Number: *

Main Fax Number:

Emergency Number: *

Fire Department Email Address: *

Fire Department Website: *

Number of Stations: *

Square Miles: (Of Primary Response Area) *

FDID Population Served: (Estimate Population of 1st Alarm District): *

Fire Department Jurisdiction: *

Department Type: *

Number of Career Firefighters: *

Number of Minority Firefighters: *

Number of Volunteer Firefighters: *

Number of Female Firefighters: *

Anticipated New Firefighters Added for Current Year: *

Anticipated Firefighters Retiring/Inactive for Current Year: *

Number of Company Officers: *

Number of Chief Officers: *

Funding Source: *

Fire Tax

Municipal

Municipal and Donations

Other Other