STATE FIRE ACADEMY PATCH ORDER FORM

Patch purchases are for certification(s) obtained through the Pennsylvania system.
    CREDIT CARD PAYMENTS:
  • Please complete the form, upload relevant documents, select payment type as "Electronic Payment" and then select "Checkout" button.
  • Certification Keystone patches and/or bars: Attach proof of your certification(s) to this form.
  • State Fire Academy Local Level Instructor Keystone Patch: Attach copy of your instructor card.
    MAIL-IN APPLICATION:
  • Please complete the form and select Payment Type as "Mail-In Application"and then select "Submit" button.
  • Enclose a check or money order with the printed application (Payable to Commonwealth of PA).
  • Do not add documents, Please┬ámail with your completed form and fee.






Patch Description Rate/Patch Qty Total
Airport Firefighter Bar 1.00
Certification Keystone 'NPQS & IFSAC' 3.00
Certification Keystone 'NPQS' 3.00
Driver/Operator – Aerial Bar 1.00
Driver/Operator – Mobile Water Supply Bar 1.00
Driver/Operator – Pumper Bar 1.00
Fire Inspector Bar 1.00
Fire Instructor I Bar 1.00
Fire Instructor II Bar 1.00
Fire Investigator Bar 1.00
Fire Officer I Bar 1.00
Fire Officer II Bar 1.00
Firefighter I Bar 1.00
Firefighter II Bar 1.00
HazMat Awareness Bar 1.00
HazMat Operations Bar 1.00
HazMat Technician Bar 1.00
Incident Safety Officer 1.00
Industrial Fire Brigade – Advanced Exterior 1.00
Industrial Fire Brigade – Incipient 1.00
Juvenile Firesetter Intervention Specialist I Bar 1.00
Juvenile Firesetter Intervention Specialist II Bar 1.00
Public Fire/Life Safety Educator I Bar 1.00
Public Fire/Life Safety Educator II Bar 1.00
Rescue Technician – Confined Space Bar 1.00
Rescue Technician – Rope Bar 1.00
Rescue Technician – Structural Collapse Bar 1.00
Rescue Technician – Surface Water Bar 1.00
Rescue Technician – Trench Bar 1.00
Rescue Technician – Vehicle/Machinery Bar 1.00
Rescue Technician – Vehicle/Machinery I Bar 1.00
Rescue Technician – Vehicle/Machinery II Bar 1.00
State Fire Academy Local Level “Instructor” Keystone Patch 3.00