Uniform Ordering Page

Uniform PPE

First and Last Name

Today's Date

Month

Day

Year

Fire Department Rank (FF, FF/EMR, FF/EMT, FF/Paramedic, Support)

EMS Rank (Type N/A if Not Applicable)

What size(s) and quantity do you need for each item. Please be specific for each item on your list. (SM, MED, LRG, XL, XXL) or Shoe Size, Belt Size etc.

Wildland Gear PPE

What size(s) and quantity do you need for each item. Please be specific for each item on your list. (SM, MED, LRG, XL, XXL)

Structural Turnout Gear PPE

What size(s) and quantity do you need for each item. Please be specific for each item on your list. (SM, MED, LRG, XL, XXL) **If you are requesting a SCBA mask, you must be fit tested. If you are requesting a bailout kit, you must be cleared,**

Estacada Rural Fire District #69

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