RECIPROCITY APPLICATION - Office of State Fire Academy

NOTE:

MUST BE A PENNSYLVANIA RESIDENT.
Certification Reciprocity will not be given for completion of training. We will only issue for National Certifications.
We cannot issue reciprocity for a level that we are not accredited or before a date that we were accredited. Click NFPA Standard Link to see the list. NFPA Standard List

CREDIT CARD PAYMENTS

Please complete the form, upload relevant documents, select payment type as "Electronic Payment" and then select "Checkout" button.
All applications requesting reciprocity will be charged a flat fee of $15.00, plus $5.00 per level requested.
PROOF OF CERTIFICATION MUST BE ATTACHED TO THIS APPLICATION.

MAIL-IN APPLICATION

Please complete the form and select Payment Type as "Mail-In Application"and then select "Submit" button.
Enclose a check or money order with the printed application (Payable to Commonwealth of PA).
Do not add documents, Please mail with your completed form and fee.

First Name

Last Name

SSN# (Last Four Digits)

Date Of Birth

Street Address

City

County

Home Phone

State

Zip

Alternate Phone

IFSAC Certificate

ProBoard Certificate

Instructor Card

Additional Document

RECIPROCITY LEVEL REQUESTED
7	Airport Firefighter	18	Driver/Operator - Aerial
19	Driver/Operator - Mobile Water	17	Driver/Operator - Pumper
9	Fire Inspector I	8	Fire Investigator
5	Fire Officer I	6	Fire Officer II
3	Fire Service Instructor I	4	Fire Service Instructor II
1	Firefighter I	2	Firefighter II
10	HazMat Awareness	13	HazMat Incident Commander
11	HazMat Operations	12	HazMat Technician
14	Incident Safety Officer	31	Industrial Fire Brigade - Advanced Exterior
30	Industrial Fire Brigade - Incipient	28	Juvenile Firesetter Intervention Specialist I
29	Juvenile Firesetter Intervention Specialist II	15	Public Fire & Life Safety Educator I
16	Public Fire & Life Safety Educator II	24	Rescue Technician – Confined Space
23	Rescue Technician – Rope	25	Rescue Technician – Structural Collapse
27	Rescue Technician – Surface Water	26	Rescue Technician – Trench
20	Rescue Technician – Vehicle/Machinery	21	Rescue Technician – Vehicle/Machinery I
22	Rescue Technician – Vehicle/Machinery II

PaymentType

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