419.933.2581
  WILLARD, OH
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  • Home
  • Departments
    • Council >
      • Legislation
    • City Manager >
      • Annual Report
    • BUILDING & ZONING
    • Finance/Utilities
    • Fire & Rescue >
      • Fire EMS Billing Info
      • Fire Forms and Links
      • Fire Station Tours
    • Income Tax
    • Maintenance & Street >
      • Airport
      • Cemetery
    • Parks & Recreation >
      • Parks & Recreation (Home Page)
      • PARKS
      • Rentals >
        • Depot Availability
      • Swimming Pool
      • Park Forms
    • Police
    • Public Works
    • Water Pollution Control >
      • CSO
    • Water >
      • backflow
  • ECONOMIC DEVELOPMENT
    • Development Director
    • CITY OF WILLARD DEMOGRAPHICS
    • COMMERCIAL PROPERTIES
    • COMMUNITY IMPROVEMENT CORPORATION
    • COMMUNITY REINVESTMENT AREA
    • WONDERFUL WORLD OF WILLARD
    • WILLARD BUSINESS BEAT
    • HISTORY OF WILLARD
  • Resources
    • Local Service Providers
    • Job Openings
    • Public Records Policy
    • Forms
    • CHIP Home Repair Grant
    • Maps
    • Recycling
    • Compost Site
    • Phone Directory
  • COMMUNITY
    • Community Calendar
    • Reservoir
    • Clock Tower
    • Community Garden
    • Christmas Parade
    • Festival in the Park
    • Fishing Derby
    • Concerts in the Park
    • BIKE SHARE
    • Community Yard Sale
    • Flags of Honor
    • ANEW Improvement Committee
    • GOODS IN THE WOODS
Picture

Willard Fire Department
Pride     Perfection     Professionalism

station tours & visits

EMS Forms

Fire Forms

Form 1008 - Notice of Privacy Practices (HIPAA Form)
File Size: 563 kb
File Type: pdf
Download File

Form 1010 - Patient Request for Access to Protected Health Information (PHI)
File Size: 636 kb
File Type: pdf
Download File

Form 1012 - Patient Request for Amendment of Protected Health Information (PHI)
File Size: 564 kb
File Type: pdf
Download File

Form 1103 Physician Certification Statement & Form 1105 Attestation PCS Signature
File Size: 308 kb
File Type: pdf
Download File

DNR Do Not Resuscitate Form
File Size: 22 kb
File Type: pdf
Download File

Forms can be sent to Willard Fire & Rescue's Compliance Officer via:
Email:    JWeiss@WillardOhio.us
Fax:        (419) 933-7800
Mail:      Willard Fire & Rescue
                  425 Fort Ball Rd, PO Box 367
                  Willard, OH  44890

​Still Have Questions?  Contact the Compliance Officer
Email:    JWeiss@WillardOhio.us
Phone:  (419) 935-8287
                  Ext# 1343  (Compliance Officer)
                  Ext# 0           (Station for General Questions)

Student & Observer Forms

Student & Observer Forms 2020
File Size: 651 kb
File Type: pdf
Download File

Know Ohio's Open Burning Regulations (ver May 2020)
File Size: 3082 kb
File Type: pdf
Download File

What You Can Burn in the Neighborhood (English)
File Size: 197 kb
File Type: pdf
Download File

What You Can Burn in the Neighborhood (Spanish)
File Size: 372 kb
File Type: pdf
Download File

Open Burn Permission Request Form (ver 1.2 04/2018)
File Size: 169 kb
File Type: pdf
Download File

Open Burn Notification Form (ver 1.2 04/2018)
File Size: 155 kb
File Type: pdf
Download File

Open Burn Notification Form Horticultural (ver 1.0 04/2018)
File Size: 142 kb
File Type: pdf
Download File

Links

Huron County EMA
Mercy Health Willard Hospital
National Fire Protection Agency (NFPA)
Ohio EPA Open burning
Ohio State Fire Marshal's Office

City of Willard, Ohio - www.WillardOhio.us - 419.933.2581

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