Department of Community Affairs
Division of Fire Safety
P.O. Box 809
Trenton, NJ 08625-0809
Phone: (609) 777-3552
Fax: (609) 341-3469
FIRE OFFICER
Certification Application
1. *DFSID Number:
* Name:
*Address:
*City,State,Zip:
Telephones: Home:
Work:
Cell:
*Email:
Member of FD:
County:
Note: *=Required
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For Official Use Only
Received:
Returned:
Received 2:
Date Approved:
By:
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2. Submittal Instructions: Please attach a photocopy of State certifications, course completion certificates and/or other
documents which verify that you satisfy the requirements of the adopted Fire Officer credentialing level. You may use this
form to apply for all four certifications at one time. Reference the Fire Officer credentialing level requirements which are
presented on the second page of this form. An incomplete application package will result in the application package being
returned to you, and will cause delays in processing of the application. Please check the “box” corresponding to the Fire
Officer level to be issued.
Fire Officer 1
Fire Officer 2
Fire Officer 3
Fire Officer 4
Revised: April 2021
3. I do hereby certify that the documentation submitted with this application is accurate and is true. I am aware that if any of the
documentation is willfully false, I am subject to punishment.
Applicant’s Signature: ____________________________________________________ Date: _________________________
Note:
The applicant must document course completion certificates for IMS I-100,
I-700 and I-800 training programs at the time of application submittal to
verify compliance to Executive Order 50 mandates. The I-100, I-700 and
I-800 course completion certificates may be completed online.
Fire Officer Certification Application Form Instructions
Please type or print clearly on the application form.
Certification will not be issued unless documentation is received and validated.
Section
1. Provide your DFSID number, name, home address, county where you reside, contact telephone numbers and email.
2. Fire Officer Certification Requirements:
Level 1: a. Satisfactorily complete the Fire Officer I course of instruction adopted by the Division of Fire Safety in
accordance with N.J.A.C. 5:73-8, and successfully pass the State Fire Officer I exams that evaluate the Job
Performance Requirements (JPRs) and components of requisite knowledge and skills contained in the
adopted NFPA 1021 standard;
b. Certified as Firefighter I and Firefighter II issued by the Division of Fire Safety in accordance with N.J.A.C.
5:73-4;
c. Certified as Hazardous Materials-Awareness and Hazardous Materials-Operations issued by the Division of
Fire Safety in accordance with N.J.A.C. 5:73-6;
d. Certified as Incident Management Level 1 issued by the Division of Fire Safety in accordance with N.J.A.C.
5:73-3;
e. Satisfactorily complete the Fire Instructor I course of instruction adopted by the Division of Fire Safety in
accordance with N.J.A.C. 5:73-5, and successfully pass the State Fire Instructor I exams that evaluate the
Job Performance Requirements (JPRs) and components of requisite knowledge and skills contained in the
adopted NFPA 1041 standard; (Note: Fire Instructor I certification is not required for this credentialing
requirement, only the successful completion of the Fire Instructor I course and State exams.)
f. Satisfactorily complete a classroom instructor-led Incident Safety Officer course of instruction adopted by the
Division of Fire Safety in accordance with N.J.A.C. 5:73-8;
g. Satisfactorily complete at least 12 hours of training on Principles of Building Construction Series of
instructional courses which are similar in content with the National Fire Academy courses; and,
h. Satisfactorily complete at least 24 hours of training on Fire Tactics Series of instructional courses which are
similar in content with the National Fire Academy courses.
Level 2: a. Satisfactorily complete the Fire Officer II course of instruction adopted by the Division of Fire Safety in
accordance with N.J.A.C. 5:73-8, and successfully pass the State Fire Officer II exams that evaluate the Job
Performance Requirements (JPRs) and components of requisite knowledge and skills contained in the
adopted NFPA 1021 standard;
b. Certified as Fire Officer I issued by the Division of Fire Safety in accordance with N.J.A.C. 5:73-8; and,
c. Certified as Incident Management Level 2 issued by the Division of Fire Safety in accordance with N.J.A.C.
5:73-3.
Level 3: a. Satisfactorily complete the Fire Officer III course of instruction adopted by the Division of Fire Safety in
accordance with N.J.A.C. 5:73-8, and successfully pass the State Fire Officer III exams that evaluate the Job
Performance Requirements (JPRs) and components of requisite knowledge and skills contained in the
adopted NFPA 1021 standard; and,
b. Certified as Fire Officer II issued by the Division of Fire Safety in accordance with N.J.A.C. 5:73-8.
Level 4: a. Satisfactorily complete the Fire Officer IV course of instruction adopted by the Division of Fire Safety in
accordance with N.J.A.C. 5:73-8, and successfully pass the State Fire Officer IV exams that evaluate the Job
Performance Requirements (JPRs) and components of requisite knowledge and skills contained in the
adopted NFPA 1021 standard; and,
b. Certified as Fire Officer III issued by the Division of Fire Safety in accordance with N.J.A.C. 5:73-8.
3. The application form must be signed and dated.
Forward the application form and supportive documentation to:
Attn: Fire Officer Certification
Office of Training & Certification
Division of Fire Safety
P.O. Box 809
Trenton, NJ 08625-0809
Office Staff Contact Information
Questions about Fire Officer certification requirements
and procedures should be directed to the staff of the
Office of Training and Certification at (609) 777-3552
from 8:30 a.m. to 4:00 p.m., Monday through Friday.
Revised: April 2021
