FIREFIGHTER PHYSICAL EVALUATION FORM 2026

1. Click ‘Get Form’ to open the FIREFIGHTER PHYSICAL EVALUATION FORM in the editor.
2. Begin by filling in your FIRE COMPANY name, NAME, DATE, and SOCIAL SECURITY NUMBER at the top of the form.
3. Provide your DATE OF BIRTH, HOME ADDRESS, HOME PHONE, PRIMARY PHYSICIAN details including their phone number and address.
4. Select your current category of firefighting activity by circling one of the options provided (A, B, C, or D).
5. Indicate if you wish to be upgraded to a higher firefighter category by circling 'YES' or 'NO'.
6. Proceed to complete your medical history on the following pages. Answer all questions honestly regarding pulmonary, cardiovascular, neurologic conditions and more.
7. Review your answers carefully before signing at the end of the form to confirm accuracy.

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