Skip to Main Content

Carroll County, GA

Special Duty Request

Carroll County Fire Rescue is proud to be an active member of the community. Carroll County Fire Rescue participates in many annual and monthly community events as well as those that are requested specifically for local businesses, schools, and churches. Special duties can consist of teaching fire extinguisher safety, fire safety education, career day events, standing by on large events for fire or EMS, and so much more. If you would like to request a Special Duty for your event then please fill out the request form below.

Special Duty Request

CONTACT NAME*
First & Last Name
CONTACT PHONE NUMBER*
CONTACT EMAIL*
NAME OF ORGANIZATION*
EVENT LOCATION ADDRESS*
Street Address, City, Zip
EVENT DESCRIPTION*
APPARATUS/EQUIPMENT REQUESTED*
REQUESTED DATE/TIME EVENT BEGINS*
REQUESTED DATE/TIME EVENT BEGINS
REQUESTED DATE/TIME EVENT BEGINS
REQUESTED DATE/TIME EVENT ENDS*
REQUESTED DATE/TIME EVENT ENDS
REQUESTED DATE/TIME EVENT ENDS
ALTERNATE DATE
ALTERNATE DATE
PLEASE SUBMIT SPECIAL DUTY REQUESTS AT LEAST 5 BUSINESS DAYS BEFORE SCHEDULED EVENT

Leave This Blank:

1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
Submit