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Application For Fire-Med Membership

Current Deadline For Enrollment: November 15th

FireMed membership includes all persons who are permanent residents of the same single family occupancy, non-commercial residence within the Springfield or Lane Rural ambulance service areas, living together as part of a family unit, but not to include mere roomers or boarders. Membership is also extended to include household members living in substitute care.

Before filling out this form, please be sure to read through our Fire-Med Information.

Number of Household Members:  

        

 

contact: rijones@hermiston.or.us