Department of Homeland Security Forms
To search this catalog: From the toolbar in the Edit menu, select "Find". When the Find search box appears, enter a keyword or form number. The first search result will display with the keyword or number highlighted, at the top of the page. Click "Find next" until the desired form is highlighted.
For forms labeled "PDF", the free Adobe Acrobat Reader software is required to view and in some cases fill them out. Forms in other formats (MS Word, MS Excel, etc) are indicated where appropriate.
To open a form once you have chosen it, click on the linked State Form Number (such as 01365.pdf).
For questions about individual forms, please contact this agency's forms coordinator, Nakeya Harris at 317-234-2991.
For questions about how to use this catalog, or to inform us of a technical problem, please send e-mail to the
Forms marked "read-only" cannot be filled in on your computer. They must be printed out and filled in by hand or typewriter.
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Title |
Form Number |
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Airport Firefighter Practical Skills Evaluation Checklist |
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Application for Amusement Entertainment Permit |
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Application for Annual Permit to Operate Amusement Device |
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Application for Emergency Medical Technician |
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Application For Firefighter Certification |
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Application for Fireworks Stand Retail Sales Permit (read-only) |
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Application for Installation or Alteration Permit |
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Application For Permit - Supervised Public Display of Fireworks (read-only) |
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Application for Recertification Based on Previous Certification |
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Application for Regulated Explosive Use - Blaster License (read-only) |
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Application for Regulated Explosive Use - Operator License (read-only) |
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Application for Renewal of Underground Storage Tank Certification |
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Application for Underground Storage Tank Certification |
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Application for Variance |
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Corporation Or Educational Institution Elevator Contractor License Application (read-only) |
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Corporation Or Educational Institution Elevator Contractor License Renewal Application (read-only) |
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Credit Card Charge Request (read-only) |
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Credit Card Charge Request Form (read-only) |
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Credit Card Charge Request - General |
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Electrical Grounding & Bonding for Amusement Devices (read-only) |
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Elevator Contractor License Application For An Individual (read-only) |
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Elevator Contractor License for an Individual: Renewal Application (read-only) |
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Elevator Inspector License Renewal Application (read-only) |
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Elevator Mechanic License Application (read-only) |
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Elevator Mechanic License Renewal Application (read-only) |
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Elevator Mechanic Temp. License Application (read-only) |
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Elevator Mechanic Temp. Renewal License Application (read-only) |
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Elevator Inspector License Application (read-only) |
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Emergency Medical Application for Reciprocity |
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Emergency Medical Intermediate Application for Reciprocity |
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Emergency Medical Technician Basic-Advanced Application for Reciprocity |
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Firefighter I / II Practical Skills Exam |
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Fire Instructor II / III Practical Skills Evaluation Checklist |
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Fire Investigator Practical Skills Evaluation Checklist |
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Fire Officer I Practical Skills Evaluation Checklist |
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Fire Officer II Practical Skills Evaluation Checklist |
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Fire Officer III Practical Skills Evaluation Checklist |
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First Responder Application for Reciprocity |
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Indiana Disaster Assistance Program |
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Inspector I Practical Skills Evaluation Checklist |
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Inspector II Practical Skills Evaluation Checklist |
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Instructor I Practical Skills Evaluation Checklist |
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Manufactured Home Consumer Complaint |
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Notice of Violation & Order to Correct - Fireworks Sold in Class I Structures (read-only) |
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Paramedic Application for Reciprocity |
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Partnership Or Limited Partnership Elevator Contractor License Application (read-only) |
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Partnership Or Limited Partnership Elevator Contractor License Renewal Application (read-only) |
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Practical Skills Examination Driver Operator Aerial (read-only) |
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Practical Skills Examination FOI (read-only) |
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Practical Skills Examination FOII (read-only) |
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Practical Skills Examination FOIII |
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Practical Skills Examination - Hazardous Materials Technician (read-only) |
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Practical Skills Examination - Hazmat Operations (read-only) |
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Practical Skills Examination - Mandatory Training (read-only) |
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Public Fire & Life Safety II Practical Skills Evaluation Checklist |
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Regulated Explosive Use - Blaster or Regulated Explosive Use Operator - License Renewal Application (read-only) |
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Report of Basic EMT Continuing Education |
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Report of Burn Injury Registry (read-only) |
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Report of EMT Basic-Advanced Continuing Education |
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Report of EMT - Paramedic Continuing Education |
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Report of Tests for Elevator, Dumbwaiters, Escalators, Platform Lift, Stairway Chairlifts, People Movers and Special Purpose Elevators (read-only) |
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Report of Tests for Elevator, Dumbwaiters, Escalators, Platform Lift, Stairway Chairlifts, People Movers and Special Purpose Elevators |
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Report of Training |
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Reservation for Practical Skills Examination |
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Roster for Students Participating in Cognitive Examinations |
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Roster of Primary Instructors |
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Statement of Remediation of EBT-BA Curriculum |
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State of Indiana Out of Hospital Do Not Resuscitate Declaration and Order (read-only) |
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