New Responder Form

New Responder Form

MO-IA FIRE ZONE NEW REPONDER REQUEST FORM
Most wildland fire personnel engage in arduous activities. This requires not only a medical exam but also physical fitness testing (Pack Test) to ensure you can perform the job safely.

Some wildland fire positions require lower levels of exertion and have different medical and physical fitness testing requirements.
Are you willing to take the basic firefighter training?
Are you willing to take a Work Capacity Test/Pack Test Needed?
- Pack Test (Arduous Duty): Complete a 3-mile walk over level terrain in 45 minutes or less while carrying a 45-pound pack. Wildland firefighting (which includes positions such as firefighter, faller, or crew boss)
- Field Test (Moderate Duty): Complete a 2-mile walk over level terrain in 30 minutes or less while carrying a 25-pound pack. Moderate duty positions (such as operations section chief or safety officer)
- Walk Test (Light Duty): Complete a 1-mile walk over level terrain in 16 minutes or less (no pack carrying requirement). Light duty positions (such as incident communications technician or camp manager)

DOI Employees Click Here to learn more about medical requirement.
FOR DOI EMPLOYEES:

Arduous Duty Testing
Arduous duty firefighting positions require a medical exam and a physical fitness test. You must complete your medical exam and receive a qualification certificate before you can participate in the pack test.

Once you complete this form we will reach out to you and your supervisor.

Learn about this process on our medical exam webpage.

Moderate and Light Duty Testing
To participate in the field test for moderate duty positions or the walk test for light duty positions, you must first complete a health screening questionnaire. Complete the questionnaire by following these steps:

Step 1: Contact your local Fire Management Officer. They will collect your information and enter it into the medical exam tracking system, Acuity-CHS. Once you complete this form we will reach out to you and your supervisor.

Step 2: Your local Fire Management Officer will then order your health screening questionnaire.
Step 3: You’ll receive a registration email and directions to complete the health screening questionnaire.
Step 4: If cleared, you’ll receive a printable certificate that you can take to your work capacity test. The certificate of qualification can be printed through the Acuity-CHS system, or your local Fire Management Officer or human resources staff can print it for you.