Important Forms

Click on the links (many are word format)

• Refusal Form for McKinley County
• McKinley County EMS Run Form
• McKinley County EMS Run Form Computer fill
• Zuni EMS Run Form
• QA Confidentiality Form (must be filled out at the meeting to attend)
• Medical Equipment order form (All entities ordering equipment under McKinley
  Co.) must filled out this form to have items ordered.  Submission by email to CDR Hoffman is preferred khoffman@co.mckinley.nm.us).  No longer will call in's or little sticky notes be accepted.
   
• NEW Travel Request Form.  READ THE POLICY, this is important
        THIS FORM MUST BE FILLED OUT FOR ALL TRAVEL, in or out of state that involves per diem.  This must be pre-approved by the County Manager/Commission.  There are no exceptions, and is a county stipulation; beyond the Fire Administration.  The form must be signed by the traveler, signing for or by is not accepted; it must be the traveler.  The dates of travel and all supporting documentation is required.  Immediately return the form to the Fire Administration for processing, no travel will be processed without the signature of the traveler.  The Supervisor is the McKinley County Fire Director even for entities that are not McKinley County and other fiscal entities (Pueblo of Zuni, Tohatchi EMS, Crownpoint NN EMS, Medstar Ambulance, Gallup Medflight and certain training travel for Gallup FD Hazmat).
      In state travel can be approved by the County Manager.  The lead time required usually takes about a week or so,      early submission is advised since the Manager may be out on travel at any time.      
      All Travel requests for out of state travel must be approved by the county commission.  Due to this, it is advised that all out of state travel be submitted at least a month ahead of time.  If submission of a request occurs in a period between commission meetings; nothing can be done, and you will be denied travel reimbursement under Fire Protection and EMS funding sources.