Bedford Fire Department
Members Area

2018 Incidents
Jan 22 23 7
Feb 30 13 5
Mar 98 15 4
Apr 21 19 4
May 38 27 3
Jun 26 21 11
Jul 44 24 7
Aug 35 21 5
Sep 37 20 1
Oct 50 24 6
Nov 30 22 5
Total 431 229 58

Volunteer Hour Meter
Month Hours
Total 0

Past Incidents
2017 366 222 50
2016 389 276
2015 344 263
2014 316 266
2013 346 240
2012 397 234
2011 382 263
2010 429 243

Visitors Today:

Visitors Since
December 1, 2005:

Threat Level

U.S. Department of
Homeland Security

Never Forget

Membership Application

Required   Indicates Required Field
Applicant Information
Last Name: Required
First Name: Required
Middle Initial:
Date of Birth: Required
Social Security Number: Required
House Number:
Address: Required
Apt. / Suite Number:
State: Required
Zip Code:
Home Telephone Number:
Mobile Number: Required
E-Mail Address: Required
Date of Application: Required
Can You Commit to a Minimum of 3 Years' Service with the Bedford Village Fire Deptment? : Required
Membership Status
Category to be applied for:
Emergency Contact Information
(EC) Name:
(EC) Address:
(EC) Primary Number:
(EC) Secondary Number:
Relationship to You:
Personal Information
Are You a Citizen of the United States?:
If not, what is Your Residency Status? :
If not a citizen, provide a copy of relevant documentation:
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Do you current possess a driver's license? :
License State:
License Class:
License Number:
License Expiration Date:
Copy of Drivers License:
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Do you have a social networking account (E.g., Facebook, Instagram, Twitter)? If so, please list:
Employment History
Please list your employment history for the last five years. Indicate if you are currently not employed. (Use a separate sheet of paper, if necessary / indicate if you are a full-time student)
(EH) Name:
(EH) Address:
(EH) You're Position:
(EH) Supervisor:
(EH) Phone Number:
(EH) Dates of Employment:
(EH-1) Name:
(EH-1) Address:
(EH-1) You're position:
(EH-1) Supervisor:
(EH-1) Phone Number:
(EH-1) Dates of Emplyoment:
Additional Employments:
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High School :
Did You Graduate High School:
Did You Graduate College:
Did you Graduate Graduate School:
If you are not presently enrolled in college, do you have plans to enroll in a college or university? :
Please Explain:
Military Service
Have You Served in the U.S. Armed Force:
If so, What Branch:
Years of Military Service:
Discharge Status:
Reserve Status:
Did You Receive Special Training that Might be Applied to the Fire Department:
Fire Department Status
Are you now or have you ever been a member of a paid or volunteer fire department or volunteer ambulance service:
If Yes, Which Department:
Years of Service:
Reason for Leaving:
Personal References
Please list three personal references (other than members of the Bedford Village Fire Department) to whom we may inquire as to your character
(PR) Name:
(PR) Address:
(PR) Relationship to You:
(PR) Phone Number:
(PR) E-Mail Address:
(PR-1) Name:
(PR-1) Address:
(PR-1) Relationship to You:
(PR-1) Phone Number:
(PR-1) E-Mail Address:
(PR-2) Name:
(PR-2) Address:
(PR-2) Relationship to You:
(PR-2) Phone Number:
(PR-2) E-Mail Address:
Also list the names of any acquaintances who are members of the Bedford Village Fire Department:
Background Information
Have you ever been convicted of or pled guilty to a felony, misdemeanor, insurance fraud, arson, sexual misconduct, perjury, excluding offenses where the record has been sealed, purged, or where you have been exonerated? :
Are there any criminal charges pending against you? :
Are there any moving violations noted on your current driver's license? :
If you answered "yes" to any of the above, please explain :
Following acceptance of an application for membership to the BVFD, an applicant is required to undergo a physical examination by a physician designated by the District, to determine the applicant's ability to perform the duties of a Firefighter / EMT
If you are accepted for membership will you agree to undergo this examination:
Attached Forms
Affirmation of the Applicant & Authorization for Release of Information Form:
Add files...
Application Status:
Application Status Date:
Click the following to download the Affirmation of the Applicant & Authorization for Release of Information Form

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Bedford Fire Department
34 Village Green
P.O. Box 230
Bedford, New York 10506-0230
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Phone: (914) 234-3133
Fax: (914) 234-0625
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