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Firefighting Equipment Donation Form
Only gear that is within NFPA standards will be given to local fire districts. Gear that is outside of NFPA standards will be donated to IFRM to
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Department/District Name
Your answer
Street Address
Your answer
City, State, Zip
Your answer
Primary Contact
Your answer
Primary Contact Email
Your answer
Primary Contact Phone
Your answer
Equipment Offered
Turnout Gear
Boots
Helmet
Ax
Hose
Chainsaw
Hand Tools
Generator
Portable Pump
SCBA Frame
SCBA Air Tank (Add expiration date in PPE comments)
EMS Equipment
Hose appliances (nozzles, fittings, wye gate, etc.)
Other:
Clear selection
Please describe other PPE
Your answer
Please describe other equipment/tools
Your answer
Date Equipment Available
MM
/
DD
/
YYYY
Are you willing to deliver within the Capital Area?
Yes
No
Maybe
Other:
Clear selection
Additional Information?
Your answer
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