FCSNWA
☰
Member Login
×
Username
Password
Login
Register an Account
Cancel
Forgot Login?
Members
Member Home
Online Forms
Exp Reporting flash cards
Completed Class Survey
FCSNWA Expenses
Decon Buckets Delivered
Event Planner Template
Washington State Occupational Mortality Rate database
Providing Support
When a Co-Worker has Cancer
Toolbox delivery slide show
When you request a toolbox
Web based planner
Toolbox delivery tracking
Claim resource guide
Workers compensation benefits
Presumptive Language Summary
Labor and Industries PDF
Ombuds Presentation
Why report your injuries and exposures
Members Benefits
National Fallen Firefighters
Washington State DRS Guide
IAFF LODD Notifications User Guide
IAFF LODD Funeral Protocal
Labor and Industries death benefits
IAFF LODD Policy
Officer Down Memorial Page Survivor benefits info
PSOB/PSOEA Fact Sheet
DRS what to do when there is a death
Public Safety Officers Benefits
Downloads & Resources
Published Pesentations
Seattle Fire Train the Trainer
PIIERS Presentation
Toolbox Delivery
Message Board
Officers and Staff
Constitution/Bylaws
Member Directory
Wellness and Physicals
Presumptive Illness RCW
Electron Beam Tomography screens
NFPA 1582 Implementation Guide
WFI Annual Physical Components
Events Calendar
Login
Requests
Request for assistance
Event and class request
Information request
Calendar
PIIERS
Housebill 1604 Final report
PIIERS video
PIIERS trifold
PIIERS webpage
PIIERS Presentation
PIIERS Rollout video
Healthy In..
Gross Decontamination Bucket
Healthy in - Healthy out
Hot water retro-fit
Healthy in-Healthy out Powerpoint
The story behind Healthy in- Healthy out
Resource Library
Fire Department Resources
Articles
Handouts
Model Language
Presentations
Videos
Kirkland Fire Gross Decon Training Video
Lion Apparal Gear Inspection
Smoke from fire kills 60 percent of firefighters
Cancer in the Boston Fire Department
UL, NIOSH, IFSI Research Project Overview
Killing cancer with a Virus ???
The Game Changer
Healthy firefighters and The Skelleftea Model
Preventing Firefighter Cancer
Honor, Pride, and Tradition - The Fight Against Cancer in the Modern Fire Service
Firefighters recall colleagues who died from occupational cancer
Fighting Fires, Fighting Cancer
Are those bugles or plungers?
Firefighter Cancer Support Network Video 2013 (Full Length)
The Firefighter Cancer Support Network
Contact Us
×
Requests
Calendar
PIIERS
Healthy In..
Resource Library
Videos
Contact Us
Members
Login
Member Home
Online Forms
Providing Support
Claim resource guide
Members Benefits
Downloads & Resources
Published Pesentations
Message Board
Officers and Staff
Constitution/Bylaws
Member Directory
Wellness and Physicals
Events Calendar
Request for assistance
Please complete the following form when receiving a request for assistance after a diagnosis. Information will be used for correspondence and non-sensitive information will be tracked for historical purposes.
Recipient First name:
Recipient Last Name:
Email Address:
Primary Phone Number:
Street Address
City
State
Zip Code
Cancer Type
Section below is For Adminstrative Use Only
Toolbox Requested
Yes
No
select
Toolbox Delivered Method
Sent in mail
Met in Person
select one
Mentor Requested
Yes
No
select
Active Status
Active
Retired
select
Pay Status
Career - Full Time
Part-Paid
Volunteer
select
Affiliation
Fire
EMS
Police
Family Member
Other
select
Years of Service
Volunteer
Career
Age at Diagnosis
Communication Preference
(Use Control to Select all that apply)
Phone Call
Text
email
Select all that apply
Submitted By
select
Steve Austin
Bob Dirham
Dane Hammond
Jerid Hildebrand
Mike Kithcart
Bill Hoover
Craig Hooper
Eric Monroe
Josh Proctor
Erik Taylor
Dan Ward
<<
January 2021
>>
S
M
T
W
T
F
S
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
UnionActive Newswire
Join the Newswire!
Updated: Jan. 17 (19:00)
Workshop Announcement – Unemployment Benefits During Covid-19
IATSE Local B4
Laborpower/Jobs for dispatch
IBEW Local 191
Check Out Our New Benefits Website!
IBEW Local 332
Weekly News Wrap-Up: 1/15/2021
Teamsters local 570
Weekly News Wrap Up 1/15/2021
Teamsters Local 355
Update on LUMEN MLK Action
CWA Local 7777
More News
-
FCSNWA
Copyright © 2021. All Rights Reserved.
Powered By
UnionActive