RATE STATION/PLATTON TOTAL AMMOUNT OF TIME SERVED ON PRESENT DUTY ASSIGNMENT YEARS MONTHS REASON FOR REQUEST OF TRANSFER (Be specific) ASSIGNMENT PREFERENCE AND REASON FOR, IF ANY (BE SPECIFIC) REMARKS SIGNATURE OF REQUESTEE FIRST ENDORSMENT: (Immediate Supervisor) Check One APPROVE AND FORWARDED If disapproved explain reason: Date: SIGNATURE SECOND ENDORSMENT: (Area Assistant Fire Chief) Check One APPROVE AND FORWARDED If disapproved explain reason: Date: SIGNATURE THIRD ENDORSMENT: (Fire Chief) Check One APPROVE AND FORWARDED If disapproved explain reason: Date: SIGNATURE.
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