Wildland Physical Fitness Test/Refresher Course Completion [DOC]

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Wildland Firefighter Physical Fitness Test and Refresher
Course Completion Record for Red Card Certification
The chief is responsible for administering one of two physical fitness tests to his/her firefighters each year as a requirement for Red Card
certification/recertification. A wildland refresher course (of at least 4 hours) is also required for recertification. *As of March 2015; IS-700 course
completion date is required for all Initial and Re-certifications, at the basic Wildland Level.
If you have previously submitted the IS-700 certificate/date you will not need to submit it again.
Please send required documentation and this form to the Certification Office at the Utah Fire & Rescue Academy at the same time the
Certification/Recertification Request form is submitted. The signature by the Chief signifies that the information on this form is true and accurate. The
department should keep a copy of all records.
Department:
Chief Name:
Name
Chief Signature:
1.5 Mile Run
Pass/Fail
Pack Test
Pass/Fail
IS-700
Completion Date
Fitness Test
Completion Date
Refresher Course
Completion Date
Name
1.5 Mile Run
Pass/Fail
Pack Test
Pass/Fail
IS-700
Completion Date
Utah Fire & Rescue Academy
Attn: Certification Office
3131 Mike Jense Pkwy
Provo, UT 84601
Fax: 801-374-0681
Email: ufracertification@uvu.edu
Fitness Test
Completion Date
Refresher Course
Completion Date
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