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AFFIDAVIT State of Florida County of Before me this day personally appeared (name or affine), who being duly sworn, deposes and says that per F.S. 633.34 (6) : 1. I am of legal age, under no disabilities,

How to fill out tobacco affidavit for firefighter

How to fill out tobacco affidavit for firefighter:

1. Obtain the necessary form: Contact your local fire department or visit their website to obtain the tobacco affidavit form. It may also be available through the state's fire department association or union.
2. Read the instructions: Carefully read through the instructions provided on the form. Pay attention to any specific requirements or guidelines mentioned.
3. Personal information: Begin by filling out your personal information in the designated section of the form. This typically includes your full name, address, phone number, and email address.
4. Employment details: Provide information about your employment as a firefighter. This may include your rank, station number, years of service, and any relevant firefighter identification numbers.
5. Smoking history: Declare your smoking history by indicating whether or not you have ever used tobacco products. If you have, provide details such as the duration of tobacco use, the frequency, and the type of products used (cigarettes, cigars, chewing tobacco, etc.).
6. Nicotine replacement therapy: If you have used nicotine replacement therapy products, such as nicotine gum or patches, disclose this information in the appropriate section. Include the type of therapy used and the duration of usage.
7. Witness signature: In some cases, the affidavit may require a witness signature to validate the accuracy of the information provided. If needed, ensure a trusted individual witnesses your signature and signs the form accordingly.
8. Date and sign: Once you have completed all the necessary information, sign and date the form in the designated area. Make sure to use the same name and signature that appear elsewhere on the document to ensure consistency.

Who needs a tobacco affidavit for firefighter?

Firefighters who may be subject to specific tobacco use policies or requirements mandated by their fire department or state authorities would typically need to fill out a tobacco affidavit. This affidavit serves as a declaration of their smoking history or tobacco use, as well as any nicotine replacement therapy they may have undergone. The purpose of the affidavit is to document and potentially enforce tobacco-free policies within the fire department to promote wellness and safety.

For pdfFiller’s FAQs

What is tobacco affidavit for firefighter?

The tobacco affidavit for firefighters is a form that firefighters are required to fill out to report their tobacco use and comply with department policies.

Who is required to file tobacco affidavit for firefighter?

All firefighters who use tobacco products are required to file a tobacco affidavit.

How to fill out tobacco affidavit for firefighter?

One must accurately report their tobacco use by providing necessary information on the form and signing it as confirmation.

What is the purpose of tobacco affidavit for firefighter?

The purpose of the tobacco affidavit is to monitor and regulate firefighter's tobacco use for health and safety reasons.

What information must be reported on tobacco affidavit for firefighter?

Firefighters must report the type of tobacco products they use, frequency of use, and any relevant health conditions.

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