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DEPARTMENT OF FIRE AND RESCUE SERVICES MONTGOMERY COUNTY, MARYLAND VEHICLE ASSIGNMENT REQUEST Name: __________________________________ SSN:____________________ Last First MI Driver's License #: ______________________________ State: _____________ Duty Assignment: _________________________________________________ Bureau District Shift Station Rank/Title: ____________________________ Date: _____________________ Vehicle Type Requested o Automobile o Carryall o Jeep o Station Wagon o Pickup Truck o Marked o Unmarked Vehicle Assignment Requested o Agency-Assigned o Agency-Assigned Take Home o Motor Pool o Agency-Assigned Administrative o Assigned Emergency/Public Safety o Assigned Emergency/Administrative Vehicle Vehicle Assignment Justification ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ Recommendations o _______________________________________________ Date: ________
o _______________________________________________ Date: ________
Approval ___________________________________________________ Date: ________ Chief Jon C. Grover, Director, Department of Fire and Rescue Services AD 98066 |