CALIFORNIA CONFERENCE OF ARSON INVESTIGATORS
Certified Fire Investigator Application

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Mail Check to:

California Conference of Arson Investigators
1279 N. White Ave.
Pomona, CA 91769

Name in Full___________________________  D.O.B._____________
Home Address/Street________________________________________
City___________________________  State_________  Zip_________
Home Phone (____)_________________________________________
Description:  Eyes_______  Height _________Weight _______ Sex ____
Employment _______________________________________________
Business Address/Street___________________ County______________
City________________________  State_________  Zip_____________
Business Phone(____)________________ FAX(_____)______________
Check #____________________  Amount________________________

Fire Investigation 1A      
Fire Investigation 1B      
PC 832 or Equal      
(or CSFM Level 1 Investigator Cert. Calif. State Fire Marshal    
Fire Investigation 2A       
Fire Investigation 2B      
(or CSFM Level 2 Investigator Cert. Calif. State Fire Marshal    
100 Fires Investigated Letter of Verification Enclosed    
CCAI Member Verified by Office Paid Thru  
Fire Cause Testimony Case Name Case Number and Court Date  

I Certify that the information provided herein is true and correct
__________________________      ____________________________
Applicants Signature                                                      Date
 
Office Use only
Certification Number:_____________________ Date Certified_________
Signature CFI Committee Chair Person:  ____________________
Date:  ______________________