Fire and Aviation Management Medical Qualifications Program

OMB 0596-0164

OMB 0596-0164

Medical history, which is provided by completing the Health Screening Questionaire, Medical Qualifications Program Medical Exam and Self-Certification Statement supplies information needed to determine certification of suitability, any special medical or medication needs, and a file record to protect both the Federal Government and individuals.

The latest form for Fire and Aviation Management Medical Qualifications Program expires 2022-11-30 and can be found here.


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