Authorization & Confidentiality Agreement to Ride on Denver Fire Department Apparatus
Date of Birth
Reason for Requesting Ride
Please make all requests at least
in advance to help us balance ride along requests with emergency responses, trainings, fire inspections and other firefighter responsibilities.
Your form submission will not process your request if you choose a date within three weeks of the day of your submission.
Date Ride Requested
2nd Choice Date
3rd Choice Date
Officer/Member Requesting to Ride With
Notes or Additional Information
*PERMISSION TO RIDE WILL NOT BE GIVEN TO PERSONS UNDER 18 YEAR OF AGE
Appropriate attire must be worn as delineated in ride-a-long guidelines. Clothing must be clean and in good condition. Skirts
are not allowed, as firefighter pants must be worn at fire incidents. Fire or Paramedic service employees may wear their
uniforms. The Company Officer may cancel permission to ride based upon the appearance of the guest rider.
The Department will provide protective equipment (helmet, coat, etc.). All safety rules and guidelines for a ride-a-long, as
outlined by the Operations Division and Company Officer, must be followed. Failure to comply will be cause for termination
of the remainder of the visit.
I have received a copy of a recent copy of the Operations Division ride-a-long guidelines and agree to follow them.
I understand that prior to my ride along being approved, I MUST appear at DFD Headquarters located at 745 W. Colfax Avenue, for an in person interview. Dates and times may vary, please contact DFD at 720-913-3438 to schedule an appointment.
I understand that a background check could be completed on me and used to determine my eligibility to ride.
I agree to keep strictly confidential any health information of individuals that I learn of or observe during my
I have read this release, and
indicate my voluntary acceptance of the terms of this release by signing my name on the following screen.
(If a court of law construes that any part of this release is invalid, such construction shall not invalidate the remainder of this release.)
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