Volunteer Service Tax Credit Program Eligibility Roster

This form is for supervising officers at Volunteer Emergency Service Departments located in Allegheny County.

In order to complete this form, supervising officers MUST upload a notarized copy of their roster. Rosters submitted without proper notarization are considered INCOMPLETE.

Need the official document for notarization? Please click here.

Questions? Please reach out to our Customer Service Center at 412-350-4100 or email TreasurerVSTCDept@AlleghenyCounty.Us.

Name *

Station Number *

Email *

Phone *

Preferred Method of Contact

Email
Phone

Phone hours? VFD

VFD Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Secondary Contact Name *

Secondary Contact Email *

Secondary Contact Phone

Getting to know your VFD

When are your VFD meetings held? *

Please provide Meeting Details, Day & Time, and Meeting Frequency

When are your officer elections held? *

How long are officer terms? *

Does your VFD have a president? *

Is your VFD staffed during regular business hours? *

Monday-Friday, 8 AM-5 PM

Your VFD Eligibility Roster

NOTE: the roster document must be SIGNED and NOTARIZED before submission.

Please click this link if you need to print off the roster document

Upload your notarized roster *

Drag & Drop Files, Choose Files to Upload

The document uploaded MUST be notarized in order to be submitted. Rosters submitted without a notary signature are considered incomplete.

Do you affirm that the document attached above has been signed by a notary? *

Erica Rocchi Brusselars, Allegheny County Treasurer

Allegheny County Courthouse, Room 108, 436 Grant Street, Pittsburgh, PA 15219 | PHONE: 412-350-4100