New Member Pre-Placement (Applicant) Physical Forms

Once you submit your request, you will receive an email for both your physical and fingerprinting appointments within 5 business days. It is your responsibility to let us know if you have not received these confirmation emails within 5 business days.

Please add the following email addresses to your 'safe senders' list:  FRS.DOVS@montgomerycountymd.gov Sara.Noshafagh@montgomerycountymd.gov

CLICK HERE TO SCHEDULE A PREPLACEMENT PHYSICAL AND/OR FINGERPRINTING

All forms must be completed & brought with you to your preplacement physical:

• Medical History Form
• TB Test & Drug Screen Consent
• GXT Informed Consent 
• Medical Determination of Readiness for RFT
• OSHA Respirator Questionnaire
• Parental Consent Forms
• Map for Physical

72 hours notice = 3 business days

(weekends and holidays do not count as business days)

Fingerprinting & Physical Time Slots

• FINGERPRINTING IS BY APPOINTMENT ONLY AND IS AT 100 EDISON PARK DRIVE, GAITHERSBURG, MD.
• Fingerprinting schedule varies on Tuesdays, Wednesdays, Thursdays and Saturdays.
• Physical appointment slots offered are:
  • Monday through Friday, 8:00 am - 1:00 pm
  • Specific Saturdays - 7:30 am, 8:30 am, 9:30 am and 10:30 am

LOSAP Information & Forms

For LOSAP Questions, you may contact the LOSAP Administrator at:   FRS.LOSAP@montgomerycountymd.gov

• ID Card Request - Replacement
• Fire Service ID Request
• Personal Data Form - Address Change
• Volunteer Benefits
• LOSAP Application for Award Payment
• Tuition Assistance Application
• Direct Deposit Authorization Form
• Beneficiary Form
• Collateral Duties List
• LOSAP Flyer
• LOSAP Executive Regulation

If you have had a legal name change, please send a copy of the court document to FRS.LOSAP@montgomerycountymd.gov. We will reach out if we have any questions.

Other Forms:

• MCGOV Account Request (TSR - Choose E-Mail Services for Nature of Problem)
• ​ Property Request Form
• PIMS User Request Form
• Special Operations Membership Application
• Recreation/Wellness Pass Application

 

Is a link broken on this page?  Send email to:  

FRS.DOVS@montgomerycountymd.gov

 

Current Member Incumbent (Annual) Physical Forms

You MUST BE on the IECS list or Provisional List to schedule an Incumbent Physical - DO NOT use the link below if you are not on the IECS list or Provisional List and you have not had an initial Preplacement Physical.

Once you submit your request, you will receive an email for your physical appointment within 5 business days.  It is your responsibility to let us know if you have not received this confirmation emails within 5 business days. 

Please add the following email addresses to your 'safe senders' list: FRS.DOVS@montgomerycountymd.gov Sara.Noshafagh@montgomerycountymd.gov

CLICK HERE TO REQUEST AN INCUMBENT PHYSICAL

All forms must be completed & brought with you to your incumbent physical:

• Incumbent Physical Memo from Division Chief Kelley
• Incumbent Physical - Interval Medical History Form
• Incumbent Physical - Symptom Review for Positive PPD
• Incumbent Physical - GXT Informed Consent Form
• Incumbent Physical - Employee Medical Form
• Incumbent Physical - Medical Determination of Readiness for RFT

FROMS = Fire/Rescue Occupational Medical Services

MCVFRA Contract

• MCG - MCVFRA Contract (2020-2023)

Station Activity Management System (SAMS)

Click HERE to go to the Station Activity Management System

• SAMS Training Handout
• SAMS Training Powerpoint Presentation
• PIMS Administration (Station LOSAP Personnel Only)

Fire Rescue Open House Locations