Single Resource Casual Hire Information Form |
| HIRING
UNIT INFORMATION |
| Office
Name: |
|
Unit ID: |
|
Date: |
|
|
Example:
ID-BOF |
|
| Address:
|
|
City: |
|
State: |
|
Zip: |
|
Hiring
Official Name: |
|
Telephone: |
|
Print |
|
| CASUAL
INFORMATION |
| Casual’s Name: |
|
Phone
No: |
|
Start
Date: |
|
| |
Print |
|
|
|
|
POSITION INFORMATION |
| Job
Title: |
|
AD
Class: |
|
AD
Rate: $ |
|
|
| Incident
Order #: |
|
Accounting
Code: |
|
Request
#: |
|
|
| |
Example:
ID-BOF-0423 |
|
| |
Hiring
of emergency personnel may be made according to the provisions of
the Pay Plan for Emergency Workers when any of the following exists:
|
| |
1. To
fight a going fire. |
| |
2. Unusually
dry period or fire danger is high to extreme. |
| |
3. To
provide support to ongoing incident. |
| |
4. To
place firefighter on standby for expected dispatch. |
| |
5. Temporarily
replace members of fire suppression crews or fire management personnel
who are on fires. |
| |
6. To
attend fire suppression training. Trainee OR
Refresher AND Course Title: _____________________ |
| |
7. To
instruct fire suppression training when all other methods of hiring
and contracting instructors have been exhausted. |
| |
8. To
cope with floods, storms or any other emergency. |
| |
9. To
carry out emergency fire rehabilitation work when there is an immediate
danger of loss of life or property. |
| |
10.
Transition period following a natural emergency (not to exceed 90
days). |
| |
11.
Hazardous Fuel Reduction NTE 300 hours per calendar year (DOI agencies
only) |
TRAVEL/TRANSPORTATION |
| Casual
is entitled to transportation to and from the incident: No
Yes |
Transportation method: |
Airline |
POV (Mileage reimbursement authorized) |
Rental vehicle (Must be on resource order.
Rental provided by: Casual or
Government) |
Other (list, such
as bus, gov’t vehicle, EERA): |
|
Check
One: |
| |
Casual
to be subsisted by government. Hiring unit will reimburse approved
incidental expenses at actual cost; receipts required. |
| |
Casual
will not be subsisted; travel authorization has been issued. Hiring
unit to reimburse lodging, meals, and |
incidental
expenses at standard per diem rate. Indicate TA #: |
[ |
|
] |
|
EMPLOYMENT FORMS |
Completed
by: |
| Hiring
Official: |
I-9,
Employment Eligibility Verification |
OF-288,
Emergency Firefighter Time Report (Complete
Top section, Column A 1-8 and travel start time) |
Direct
Deposit form (if applicable) Provide to Casual |
State/federal government-issued Picture ID verified
and in Casual?s possession (required for all positions) |
Incident qualification card (if required for position)
verified and in Casual?s possession |
State-required certification verified, if required
for position (e.g., CDL, driver?s license) |
| |
Casual: |
Federal
W-4
State W-4
W-5, if applicable |
Incident
Behavior Form signed |
| |
| |
|
|
|
|
|
|
Casual Signature (Required) |
|
Date |
Hiring
Official Signature (Required) |
|
Date |
| |
Distribution: Original attached to original
OF-288; Copy retained by Hiring Unit; Copy retained with incident
records
Return original
of this form and original OF-288 to the hiring unit. |
| |
PMS
934 (August 2003) |
