2026 CSAR – Affiliate Information and Dues

2026 CSAR - Affiliate Information and Dues

This form is the first step of the CSAR membership process. Once this form is submitted an invoice will be sent. The information you submit may only be shared with incident leadership during a BSAR incident. Thank you for your patience. If you have difficulties with this process please contact [email protected]

Entity Name

Contact emails for people responsible for receiving and paying invoices

Please provide at least two email addresses and separate them with commas

Entity Address (New or changes only)

Address Line 1

Address Line 2

City

State

Zip Code

Have there been any material changes to your entity or organization?

If yes, please briefly explain.

Team Roster / Employee List

Drag & Drop Files, Choose Files to Upload

Minimum requirements: a spreadsheet containing Entity Name, First Name, Last Name, E-Mail, Cell #, and Individual Titles (if any).

for to Primary

Primary Operational Contact

First

Last

Primary Operational Contact Phone

Primary Operational Contact Email

Secondary Operational Contact

First

Last

Secondary Operational Contact Phone

Secondary Operational Contact Email

Will members of your agency that are responding to mutual aid calls be covered by their home agency's workers comp. insurance?

Yes
No
Not Applicable
Other

If "other", please explain.

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