Request a check-in service

FESSN provides check-in services to deal with specific disasters or event. Currently, separate check-in services are available for the following:

These confidential check-in services are designed to help people feel connected and supported during difficult times.

Which check-in service do you require?

Is this a self referral, Leader or Peer referral?

Name of person you're referring

Name

Which service?

RFSQ region

QFR region

QFD Corporate Hub

Position/role

Contact number

Reason for referral

Preferred contact day/time

I understand that while every effort will be made to make contact as close to the specified time this will depend on availability and demand.

Has the participant consented to you submitting this form?

Yes

Email address to send a copy of this form to

Confirm email

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This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Queensland Fire Department