28 Volunteer AND Support Companies Service

140,000 Citizens of Washington County

                     Maryland

 

Washington County Volunteer Fire and Rescue Association

Incentive Program Selection and Opt in / Opt Out

 


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Pressing Submit Will Save your information Directly to WCVFRA without further submission

Select Company    

    Last

Last 4 Digits of SSN

Phone

Email

Selections below will remain in effect until changed by you.

Do you Wish to Participate in the Incentive Program?    

Do you Wish to Participate in the Alarm Pay per Call Program(Responders)?    

Funds in the incentive program cannot be paid directly to you (with the exception of gas card) but can be disbursed to a variety of vendors on your behalf.

 Select payout Desired    

If you did not select the gas card option please enter the company information to pay

  

 Payee Company Name  

Mailing Address

Town State & zip   

By Pressing Submit You certify that the above information is correct and your action

This Will Save your information Directly to WCVFRA without further submission