LRMFA ID Cards

LRMFA Photo ID Card Application
Applicant Name:*
First MI Last
Title: *

ChiefFirefighter/EMRAssistant ChiefFirefighter/EMTDeputy ChiefFirefighter/AEMTCaptainFirefighter/ParamedicLieutenantEMRSafety officerEMTFirefighterAEMTProbationaryParamedicForest Fire WardenEngineerFire PreventionForest Fire Deputy WardenExplorerInspectorStudentAuxiliaryDispatcherSwift Water Rescue
Officers check if applicable:

EMRParamedicEMTEMS OfficerAEMT
Department or Agency:
Applicant Photo

All new photo ID cards require a current photo be submitted with the application.

Photographs should include the applicant from just below the shoulders to above their head.

It is recommended the applicant be standing in front of a solid colored background such as a painted wall. The applicant should not be wearing a hat.

Pro Tip: Use a smart device such as a tablet or smartphone to fill out the form. You can use the device to take the picture and it will automatically be attached!
Attach Photo*

Upload a File

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Number of Cards Requested

Please indicate how many of each type of ID cards are being requested. The standard is 2 fireground cards and 1 wallet card.
Fireground*
Wallet*
End User Agreement

Lakes Region Mutual Fire Aid is providing this photo identification for the purpose of Firefighter Accountability and fire department or agency identification.

I understand that all issued ID card(s) are property of Lakes Region Mutual Fire Aid and shall be surrendered on demand or separation from the affiliated department or agency.

The affiliated department or agency must make requests for ID card issue, re-issue, or renewal.

By entering your name below you are electronically signing this form.
EUA Agreement*

I agree to the End User Agreement
Electronic Signature

Enter the Department Authorized Signature and email address.
Enter Full Name to Electronically Sign This Form*
E-mail*
Should be Empty:

LRMFA Photo ID Card Application