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This form should be used for any course request including State and Federal delivery courses. When complete, send to your County Emergency Manager, who will determine approval and forward to the State Training Officer. You will be contacted by KDEM to confirm the course request.
(If different than requesting agent)
(Location or building name)
(Example: Have booked instructor, parking directions, amenity Information or anything else to show on the “Details” page in the registration site)
This field is not part of the form submission.
* indicates a required field