Pahrump Valley Firefighters IAFF Local 4068 Exposure Report Form

This form is being provided to you as a service from Local 4068 to assist you in tracking exposures to hazardous materials/environments that you encounter on a daily basis while protecting the lives of the citizens of our community.  Please complete all required information.  Contact a Union Officer if you would like to retain a hard copy for your records (Note – this form is separate from the Fire Department form you should fill out too).

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