Arkansas Administrative Code › Agency 228 - Arkansas Fire Protection Services Board › Rule 228.00.14-001 - Uniform Fire Department Insurance Reimbursement Billing Form (2014)

Current through Register Vol. 49, No. 6, June, 2024
Rules
Purpose:
The purpose of the
Uniform Fire
			 Department Insurance Billing Reimbursement Form
is to provide a form
			 and give general guidance for a fire department that is making a claim for
			 reimbursement for services and resources utilized while responding to a fire,
			 or accident involving personal property.
Scope:
This document applies to all volunteer and
			 municipal fire departments, within the State of Arkansas, that wish to file a
			 claim for reimbursement from the owner of personal property involved in a fire
			 or accident.
This document
does not
apply to
			 fire departments that operate licensed transport ambulance services as outlined
			 by the
Arkansas State Board of Health, Section of Emergency Medical
			 Services Rules and Regulations for Emergency Medical Services;
or to
			 fire departments operating under existing ordinances or intergovernmental
			 cooperation agreements.
Authority: Act 1345 of 2013
Municipal Fire
			 Departments
1. The
		  fire or accident must have occurred beyond the corporate limits of the fire
		  department's city or town.
2. The
		  fire department must make reasonable effort to obtain reimbursement from the
		  property owner for ninety (90) days.
3. Equipment rates shall be based on the FEMA
		  Schedule of Equipment rates in effect January 1, 2013
4. Expendable resources rates will be based
		  on 100% of current market value. All claims filed for expendable resources must
		  be accompanied by receipts.
5. Pay
		  rates approved by the municipality, at the time of the incident, shall be used
		  to calculate reimbursement for personnel costs.
6. Claims shall be supported by a completed
		  and attached Uniform Fire Department Insurance Reimbursement Billing
		  Form.
7. Each apparatus responded
		  may not be billed for dual purpose (i.e., Engine W/ rescue may be billed for
		  either, not both).
Volunteer Fire
			 Departments
1. The
		  fire department must make reasonable effort to obtain reimbursement from the
		  property owner for ninety (90) days.
2. Equipment rates shall be based on the FEMA
		  Schedule of Equipment rates (January 1, 2013)
3. Expendable resources rates will be based
		  on 100% of current market value. All claims filed for expendable resources must
		  be accompanied by receipts.
4.
		  Claims shall be supported by a completed and attached Uniform Fire Department
		  Insurance Reimbursement Billing Form.
5. Claimed amount per incident
shall
		  not
exceed $1000.00 USD if it
only
involves personal
		  property of nonmembers.
6. Each
		  apparatus responded may not be billed for dual purpose (i.e., Engine W/ rescue
		  may be billed for either, not both).
Fire Department Information
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FEMA's SCHEDULE OF EQUIPMENT RATES
Commonly Used Fire Service Equipment
This list is reproduced from FEMA's Schedule of Equipment
			 Rates.
The entire Schedule of Equipment Rates is available online at
http://www.fema.gov/schedule-equipment-rates
Rates for equipment not listed will be furnished by FEMA upon
			 request by contacting Pat Hanger, FEMA Region VI, 1-940-898 -5167, or
			 patricia.hanger@fema.dhs.gov
Cost Code
Equipment
Specification
Capacity/Size
HP
Notes
Unit
Rate
8070
Automobile*
to 130
Transporting People
mile
$0.50
8130
Boat, Row*
Heavy Duty
hour
$0.85
8131
Boat, Runabout*
Size
13'x5'
to 50
Outboard
hour
$14.00
8132
Boat, Tender*
Size
14'x7'
to 100
Inboard w/360° drive.
hour
$26.00
8310
Generator*
Prime Output
5.5 kW
to 10
hour
$3.25
8311
Generator*
Prime Output
16 kW
to 25
hour
$8.00
8690
Truck, Fire
Pump Capacity
1000 gpm
hour
$70.00
8691
Truck, Fire
Pump Capacity
1250 gpm
hour
$80.00
8692
Truck, Fire
Pump Capacity
1500 gpm
hour
$85.00
8693
Truck, Fire
Pump Capacity
2000 gpm
hour
$90.00
8694
Truck, Fire Ladder
Ladder Length
75 ft
hour
$125.00
8695
Truck, Fire Ladder
Ladder Length
150 ft
hour
$150.00
8800
Truck, Pickup*
Transporting People
mile
$0.50
8801
Truck, Pickup*
1/2 ton
hour
$14.00
8802
Truck, Pickup*
1 ton
hour
$20.00
8780
Truck, Water
Tank Capacity
2500 gal
to 175
Include pump and rear spray system
hour
$31.00
8781
Truck, Water
Tank Capacity
4000 gal
to 250
Include pump and rear spray system
hour
$42.00
*Only department owned equipment can be
			 billed
The following reimbursement rates are approved by FEMA.
FEMA's FIRE MANAGEMENT ASSISTANCE GRANT (FMAG)
Cost Code
Cost Code Description
Unit
Unit Price
Truck, Fire, Tender, 5000 gpm
hr
$ 125.00
Truck, Fire, Tender, 2500 gpm
hr
$ 95.00
Truck, Fire, Tender, 1000 gpm
hr
$ 70.00
Truck, Fire, Wildland, 150 gpm
hr
$ 45.00
Truck, Fire, Wildland, 50 gpm
hr
$ 42.50
Truck, Fire, Wildland, 30 gpm
hr
$ 36.50
Truck, Fire, Pumper, Type I, 1000 gpm
hr
$ 70.00
Truck, Fire, Pumper, Type II, 500 gpm
hr
$ 62.50
Truck, Fire, Pumper, Type III, 120 gpm
hr
$ 44.00
Truck, Fire, Structure, 1000 gpm
hr
$ 70.00
Truck, Fire, Structure, 250 gpm
hr
$ 46.50
Brush Trucks - use the pump gpm rating to determine the rate to
			 use instead of truck size.
Rescue/Extrication Trucks - if it has a pump, use the pump gpm
			 rating to determine the rate to use. If no pump, use the truck size (tonnage)
			 to determine the rate to use.