Shift Sub Form

Shift Substitution Subsidies

Replacement coverage subsidies are available upon request up to a maximum of 50%.
For our records submissions need to be traceable, trackable and accountable.
Please complete the form below for consideration for reimbursement.

Shift Replacement Cost Subsidy Form

* Indicates required field

Your Name: *

Your Email *

Local Name *

Local Number *

Course (Select One): *

Course Participant Name *

First

Last

Substitute's Name: *

First

Last

SUBSTITUTE'S Email: *

SUBSTITUTE'S Tel # *

Substitute's SIN: *

Shift Substitution Rate: *

Make Cheque Payable To:

Amounts greater than $600 generate a T4A.
Please contact Kelly King with any questions at kking@ontariofirefighters.org | 905-681-7111 x102

NAME: *

Address: *

Line 1

Line 2

City

State

Zip Code

Country

Any Comments for the OPFFA: *

Submit