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Last Name of Fire Pump Applicant:  
First Name of Fire Pump Applicant:  
Middle Initial of Fire Pump Applicant:
U.S. Citizen?
Why Submit Proof of Citizenship?   Proof of Citizenship:   Examples
Maintenance Class Certification:  
Social Security Number:   (XXX-XX-XXXX)
Date of Birth:  (MM/DD/YYYY)
Home Telephone Number:
Work Telephone Number:
Mailing Address:  
    City, State, Zip Code:       
     Email Address of Fire Pump Applicant:    
Confirm Password:        
Password Question:
Password must be at least:
-8 character minimum
  -12 character maximum
  -1 uppercase
-1 lowercase
-1 number
"Section 30 of the Immigration Act defines professional licensure to be a business transaction, and requires an applicant for professional licensure, who is US citizen, to demonstrate citizenship by presenting at least one of the documents named in the Code of Alabama 1975 Section 31-13-29(g)."