Athens Volunteer Fire Department P.O. Box 1179 Athens, WV 24712 (304) 384-7333
Stanley Harvey, Chief
Class / Work Absence Excuse
To: _______________________________ _______________________________ From: Athens Fire and Rescue Department Line Officers Date: _______________________________
______________________________________ was serving on a Fire / EMS emergency call on _____________________ Time of Notification _______________ Time on scene ______________ Time released from call _________________ Your understanding and consideration of this absence is greatly appreciated and vital to the success of this organization in providing excellent emergency care to the citizens in and around Athens. Please feel free to contact the officer in charge listed below to confirm this absence. Officer in Charge _______________________________ Rank _________________ Phone ________________________
West Virginia State Law 21-5-17
Employers are prohibited from discharging employees for time lost as volunteer fireman or emergency medical attendant.
Additional Information: _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________