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CFRD Volunteer Recognition Form
Did one or more of our Castine Fire Rescue Department volunteer emergency responders meet or exceed your
expectations during a recent incident or interaction? If so, please take a moment to tell us about it!
CFRVA may contact you to obtain additional information for use in preparing a formal organizational award.
* Indicates required question
Email
*
Record my email address with my response
Your Name
*
Your answer
Your Phone Number
*
Your answer
Name(s) of CFRD personnel to be recognized
*
Your answer
Date of your interaction
*
MM
/
DD
/
YYYY
Location of your interaction (Address or Location)
*
Your answer
Please provide a description of your interaction and why you feel recognition is warranted. Please provide as much detail as possible.
*
Your answer
Send me a copy of my responses.
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