Firefighter's Relief

Firefighter's Mailing Address: *

Any active firefighter belonging to the Virginia State Firefighter’s Association, Inc. or whose Auxiliary belongs to this Association, is eligible for a “Love Gift” of one hundred dollars ($100.00) from the Firefighter’s Relief Fund upon request from the President or Secretary of the member’s fire department, or from the President or Secretary of the Auxiliary to the member’s department, provided the illness has incapacitated the member for a period of thirty (30) days or the member has been injured in the line of duty. Firefighters are entitled to only one Love Gift per illness or injury. All requests will be made to the Chairman of the Firefighter’s Relief Committee. Retired firefighters are not eligible for the Love Gift.

You may complete the online form below, download and complete the pdf, or send their name, address, date of illness or injury, and the name of their fire department to:

        Lisa Saul, Secretary
        4071 Correll Rd
        Riner, VA 24149-2617
        Email: LisaSaul.AVSFA@gmail.com

Once verified, the sick or injured firefighter will be sent a Love Gift of $100.

Name of Fire Department: *

State: *

Is your fire department a current Virginia State Firefighters’ Association member? *

Yes

Name of Firefighter: *

City: *

Last Day Worked Due to Injury/Illness: *

Zip: *

Have this firefighter received a “Love Gift” from the State Auxiliary for this injury/illness before? *

Yes

Rank of the Person requesting “Love Gift”: *

Chief / President of fire department

Secretary of fire department

President of auxiliary

Secretary of auxiliary

Name of Person requesting “Love Gift”: *

FIREFIGHTER'S RELIEF

Firefighter's Love Gift Online Form

Be sure to hit SUBMIT when finished in order for the request to be processed.

Date of Injury/Illness: *

Firefighter's Love Gift Form (pdf)