O
ther (such as bus, gov’t vehicle, EERA):
Casual or
NWCG Single Resource Casual Hire Information
CASUAL INFORMATION
Casual’s Name (print): Phone #: Start Date:
Point-of-Hire: City: State: ECI #:
HIRING UNIT INFORMATION
Office Name: Hiring Location (example: ID-BOF):
Hiring Official’s Name (print): Phone #:
POSITION INFORMATION
Job Title: AD Class: _____ AD Rate: $_____ Request #: FireCode:_____
Incident Order # (example: ID-BOF-000423): Incident Location (City/State):
Hiring of emergency personnel may be made according to the provisions of the current Administratively Determined Pay Plan
for Emergency Workers when any of the following conditions exist. Reference the Pay Plan for specific determinations.
1. To fight an ongoing fire.
2. Unusually dry period or fire danger is high to extreme.
3. Provide support to ongoing incidents to include post-incident administration (dispatch, warehouse/cache, administrative support)
normally not to exceed 90 calendar days.
4. Place firefighters on standby for expected dispatch.
5. Temporarily replace members of fire suppression crews or fire management personnel who have been mobilized to incidents.
6. Attend emergency incident training. Course Title:
7. Instruct emergency incident training when all other methods of hiring and contracting instructors have been exhausted.
8. Cope with floods, storms, or any other all-hazard emergency.
9. Carry out emergency stabilization work when there is an immediate danger of loss of life or property.
10. Following a natural emergency, develop plans, and manage emergency stabilization efforts.
11. Meet FEMA mission assignments.
12. Provide public awareness for an emerging or projected incident, event, or situation.
13. For hazardous fuel reduction projects (excludes mechanical or chemical treatments).
TRAVEL/TRANSPORTATION/SUBSISTENCE
Travel for casual hires will be processed in accordance with Federal Travel Regulations, AD Pay Plan, and agency policy.
Casual is entitled to transportation to and from the incident: No Yes
Transportation method:
Airline
POV Mileage Reimbursement Authorized: POV – TDY (higher rate) or POV – Agency Vehicle Available (lower rate)
Rental Vehicle (must be on resource order): Rental provided by: Government
Subsistence:
If Casual Is Subsisted by the Government, Those Expenses Shall Not Be Claimed on a Travel Voucher.
HIRING DOCUMENTS
Completed by:
Agency
I-9, Employment Eligibility Verification (valid for 3 years)
State/federal government-issued photo ID verified and in casual’s possession (required for all positions).
Incident qualification card (if required for position) verified and in casual’s possession.
State-required certification verified, if required for position (e.g., CDL, driver’s license, EMT certificate).
Casual Federal W-4 State tax (if applicable) Incident Behavior, PMS 935-1 Direct Deposit Conditional Offer of FEHB
I understand that I am being hired under the terms and conditions of the Administratively Determined Pay Plan for
Emergency Workers.
Casual’s signature (required) Date
Hiring official’s signature (required) Date
Distribution: Follow agency hiring procedures.
*The individual hired under the Administratively Determined Pay Plan is considered a federal government employee.*
NON-DISCRIMINATION POLICY STATEMENT: The U.S. Government prohibits discrimination in all its programs and activities on the basis of
race, color, national origin, age, disability, and, where applicable, sex, marital status, familial status, parental status, religion, sexual orientation,
genetic information, political beliefs, reprisal, or because all or part of an individual’s income is derived from any public assistance program (not all
prohibited bases apply to all programs).
PMS 934 (04/21) https://www.nwcg.gov/publications/934
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
