Fire Med Application

Yes! I want to join FireMed!
Membership is available to all residents of Huntington Beach. The membership fee covers all people who live at the residence.

Please select billing type below:

Add the $5 monthly payment to my Municipal Services Statement
        Municipal Services Statement must be in the same name as noted in applicant
        information below

Bill me annually for $60

(a low-income membership rate is available - please contact our office for details)
* = required



Home Address

(Just one person's name from the household is required, and will be used for contact purposes only.   FireMed membership is confirmed by the home address in Huntington Beach, not the name submitted on the membership application.)




City
HUNTINGTON BEACH







Mailing Address (if different from address of residence)





I have read and agree to the terms and conditions of the Huntington Beach Fire Department FireMed Program *




Did you know?

Plan your wedding on the City Beach!  Sunrise or sunset, or anytime in between – beautiful location information is found here


Contact Information

City of Huntington Beach
Fire Department
2000 Main Street
Huntington Beach, CA
Phone: (714) 536-5411
Fax: (714) 374-1551
Email:

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