Department InformationFederal ID Number(Required)Enter Fire Department Federal ID as example: TX-00-000 Be sure to enter leading zeros Fire Department Name Department Name Department Address Department Address 2 Department City Department State Department Zip Department Email Address Status of Department(Required)Select Department StatusActiveSuspendedDepartment Contact InformationFire Chief First Name Fire Chief Last Name Chief Phone NumberChief Email Address Additional Department InformationCheck Notification Email(s)Enter the email address(s) to get notification if a check is received of at least $250, enter multiple email address seperated by commas with no spaces: i.e. user1@mail.com,user2@mail.com Department Notes