Seniors’ Fire Safety Presentation Request Form

Seniors’ Fire Safety Presentation Request Form


Part 1: Group/organisation details

Preferred date(Required)

Presentations duration is 1 hour.

Is an interpreter required?(Required)

Part 2: Provide your contact details

If you do not have a mobile you can provide a landline number.

This address will be used to send a booking confirmation.

How did you hear about the program?(Required)
Privacy statement(Required)

Fire Rescue Victoria (FRV) collects the information that you provide with this referral/enquiry form. FRV is bound by the Privacy and Data Protection Act 2014 (Vic) and is required to adhere to the Information Privacy Principles which set out the minimum standards for the handling of personal information in the Victorian public sector. FRV is committed to protecting your privacy and will collect, hold, use and disclose your personal information accordingly. You can request access to, and corrections of, any personal information provided in this form. Requests for access or correction should be sent to FRV's Privacy team. FRV is using the services of Drupal to administer this form. The information that you provide is stored in our Drupal content management system and Amazon Web Services servers. For more information on FRV’s handling of any personal information, please refer to Fire Rescue Victoria’s Privacy Statement. If you do not provide all or part of the information requested, FRV may not be able to contact you regarding your enquiry.

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