Marysville Fire DistrictTraining/Travel Request
Employee Name:
Title/Shift:
Shift Coverage:
Off Shift
Trade
Coverage
Date(s) needing coverage/trades:
Reason for Request
Filled by Employee
Level of Training:
Level 1 - Mandatory/Required (OT and shift coverage to include mandatory coverage)
Level 2 - Encouraged (No OT - shift coverage provided but no mandatory coverage)
Level 3 - Elective (No OT or shift coverage)
Level 4 - Other (No OT or shift coverage)
Department
Filled by Employee
Board
Administration
SSD
Fire Suppression
EMS
Special Operations
Prevention
Other
ATTACH EVENT INFORMATION
Submitted by Employee
Event
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REGISTRATION
Filled by employee
Event:
Date (s):
-
Month
-
Day
Year
Date
Location:
Event Phone:
Format: (000) 000-0000.
LODGING
Filled by Employee
List 3 Hotel/Motel Choices:
Check In Date:
-
Month
-
Day
Year
Date
Check Out Date:
-
Month
-
Day
Year
Date
AIR TRAVEL
Filled by Employee
Destination Airport:
Preferred Carrier:
Preferred Airport:
SeaTac
Bellingham
Everett
Departure Date:
-
Month
-
Day
Year
Date
Requested Time:
Hour Minutes
AM
PM
AM/PM Option
Return Date:
-
Month
-
Day
Year
Date
Requested Time:
Hour Minutes
AM
PM
AM/PM Option
Your Email:
example@example.com
Supervisor Email:
example@example.com
Submit
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