Massapequa Fire Department
Application

Membership Application – Department

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Address: 1 Brooklyn Avenue Massapequa, New York 11758
Phone: (516) 798-9849
Date
October 2, 2026
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Applicant Information
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Mobile preferred.
Primary residence.
You must be at least 16 years old to apply.
Background
Optional, but helpful.
Statement of Interest
Company (Optional)
Signature (E-Sign)
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