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DR-700218 <br /> R . 04/04 <br /> Page 3 <br /> 5 . Certified that persons in its employ as firefighters , as defined in s . 633 . 30( 1 ) , F. S . , meet the qualification <br /> for <br /> employment as established by the Division of State Fire Marshal pursuant to the provisions of ss . 633 . 34 and <br /> 633 . 35 , F. S . , and that the provisions of s . 633 . 382 , F. S . are met ? <br /> 0 Yes No <br /> Additionally, please answer the following : <br /> ( A) Does the addressed unit of government employ any full-time firefighters which currently possess either a <br /> bachelor's degree or associate degree from a college or university which is applicable to fire department <br /> duties , provided that degree is not required for their current position ? <br /> © Yes a No <br /> ( B ) If so , are these firefighters currently receiving supplemental compensation for those degrees ? <br /> © Yes No a Does Not Apply <br /> Signed : Date : 5 • aiS • owl <br /> ppropriate Fire 0 Offi ' I <br /> [ If you have no fire department or ' ou have a strictly volunteer fire department , etc . , please check the box to the <br /> left side .] <br /> 6 . Certified that each dependent special district that is budgeted separately from the general budget of the local <br /> governing authority has met the provisions for annual postaudit of its financial accounts in accordance with <br /> the provisions of s . 218 . 39 ( 1 ) , F. S . ? <br /> ® Yes 0 No F ] Does Not Apply <br /> Signed : Date : <br /> hief cal Official <br /> 7 . Certified to the Department of Revenue that the requirements of s . 200 . 065 , F. S . , if applicable , were met? <br /> (The certification shall be made annually within 30 days of adoption of an ordinance or resolution establishing <br /> a final property tax levy or, if no property tax is levied , not later than November 1 . The portion of revenue <br /> sharing funds which , pursuant to this part, would otherwise be distributed to a unit of local government which <br /> has not certified compliance or has otherwise failed to meet the requirements of s . 200 . 065 , F. S . , shall be <br /> deposited in the General Revenue Fund for the 12 months following a determination of noncompliance by the <br /> department. ) <br /> Signed : _) Date : <br /> hief al Official <br />