Transcription of Application for Retired Volunteer
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Application for Retired Volunteer
Application for Retired Volunteer PO Box 1652, Halifax, Nova Scotia B3J 2Z3 Firefighter Plates or Retired Ground Search and Rescue Plates PLEASE PRINT ALL INFORMATION IN BLOCK LETTERS Phone 902 424-5851 Toll Free 1 800 898-7668. SECTION 1 Applicant Identification Name of Applicant Applicant Master Number Residence Address Mailing Address Postal Code Postal Code SECTION 2 Vehicle Information VIN / Serial Number Year Make Model Body Type Registered Weight SECTION 3 Plate Information Current / Previous Plate Prov / State Attach Plate Number Retired Volunteer Firefighter Retired Ground Search and Rescue NOTE: Applicant must be the registered owner of the vehicle or have written authorization from the vehicle owner.
NOTE: For purposes of this application a “retired volunteer member” means a person who: was a member of a Volunteer Fire Department or Ground Search and Rescue Organization for 15 years and while active participated in a minimum of 20% of calls and training. Form APP46 2004D(Rev. 09/15)
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