FIREFIGHTING AFFF FOAM - UNDER FIRE AS HEALTH RISK TO 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin with the Declaration, Privacy & Consent section. Check both boxes to confirm your understanding and consent regarding the program and information sharing.
3. Fill in your Date and provide your Signature to validate your acknowledgment of the survey's purpose.
4. In the Consultation section, indicate if you wish to speak with a doctor about PFAS exposure by selecting the appropriate option.
5. Complete your Contact Details accurately, including Name, Address, Email Address, and Phone Number for effective communication.
6. Provide your Date of Birth and DFES Service/Volunteer ID number if known.
7. Answer questions regarding your gender, GP details for pathology results, DFES workforce status, service history, and frequency of AFFF usage.
8. Once all sections are completed, review your responses for accuracy before submitting the form via email as instructed at the end of the document.

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