INSTRUCTIONS: ALABAMA FIREFIGHTER CERTIFICATION (Form RSA FCFERS)

Alabama firefighters can purchase credit for prior service by using the document discussed in this article. This form can be obtained from the website maintained by the Retirement Systems of Alabama.

Alabama Firefighter Certification RSA FCFERS Step 1: Part I should be completed by your current employer. Your name should be entered on the first blank line.

Alabama Firefighter Certification RSA FCFERS Step 2: Your Social Security number should be entered on the second blank line.

Alabama Firefighter Certification RSA FCFERS Step 3: Your street address or P.O. box number, city, state and zip code should be entered on the third blank line.

Alabama Firefighter Certification RSA FCFERS Step 4: Your work telephone number, including the area code, should be entered on the fourth blank line.

Alabama Firefighter Certification RSA FCFERS Step 5: Your home telephone number, including the area code, should be entered on the fifth blank line.

Alabama Firefighter Certification RSA FCFERS Step 6: The box next to "Firefighter" should be checked.

Alabama Firefighter Certification RSA FCFERS Step 7: Your position title should be entered on the next blank line.

Alabama Firefighter Certification RSA FCFERS Step 8: Your employment status should be indicated with a check mark.

Alabama Firefighter Certification RSA FCFERS Step 9: The name of your employing agency should be entered.

Alabama Firefighter Certification RSA FCFERS Step 10: The certifying official should enter their signature on the next blank line.

Alabama Firefighter Certification RSA FCFERS Step 11: The certifying official should enter the date on the next blank line.

Alabama Firefighter Certification RSA FCFERS Step 12: The certifying official should enter their title on the next blank line.

Alabama Firefighter Certification RSA FCFERS Step 13: Part II should be completed by the employer to which eligible periods of service were rendered. In the table provided, your position title, beginning and ending dates of service and total service rendered should be entered.

Alabama Firefighter Certification RSA FCFERS Step 14: On the next blank line, the agency name should be entered.

Alabama Firefighter Certification RSA FCFERS Step 15: On the last three blank lines of Part II, the date, the signature of the certifying official and their title should be entered.

Alabama Firefighter Certification RSA FCFERS Step 16: Mail the form to the address given in the instructions on the second page.