This form should be used by approved new probationary members of Centereach Fire Department.
  • Member has been approved as member of dept.

  • Member has received approval from company officers and/or chief of department, to create email account.


  • Use of DEPARTMENT EMAIL @centerachfd.org is LOGGED.
    * indicates required field
    Name as appears on Drivers License
    This email address should be a personal email. This is the email we will send the newly created account information.