Volunteer Emergency-Responder Work-Absence Notice and Verification Packet - Montana
MONTANA VOLUNTEER EMERGENCY-SERVICES ABSENCE PACKET
State-agency employees — Mont. Code Ann. § 2-18-624
1. COVERAGE WORKSHEET
| Field | Entry |
|---|---|
| Employee | [________________________________] |
| State agency | [________________________________] |
| Supervisor / HR | [________________________________] |
| Volunteer organization | [________________________________] |
- ☐ Employee has completed the agency probationary period.
- ☐ Employee is a qualifying volunteer firefighter, enrolled volunteer-fire-department member, or volunteer emergency medical technician.
- ☐ Employee is not paid full-time by the service entity for services in the local service area.
Standing written-notice route:
- ☐ Existing provider on October 1, 2025 — notice supplied within 30 days after that date
- ☐ Joined after October 1, 2025 — notice supplied within 30 days after joining
- ☐ Hired while already serving — notice supplied within 30 days after hire
2. STANDING MEMBERSHIP NOTICE
To: [AGENCY / SUPERVISOR]
I give written notice that I serve as a volunteer emergency services provider with [ORGANIZATION].
Role: [________________________________]
Service area: [________________________________]
Employee signature: __________________________ Date: ______________
3. EMERGENCY ABSENCE OR LATE-ARRIVAL NOTICE
I may be absent or late because I am performing volunteer emergency-service duties during an emergency. I am notifying the agency as soon as possible.
| Item | Entry |
|---|---|
| Emergency | [________________________________] |
| Expected absence / delay | [________________________________] |
| Contact method | [________________________________] |
| Prior authorization, if agency-required | [________________________________] |
The agency may require advance authorization when the absence or delay would imperil public safety or prevent performance of an essential agency function. The agency determines whether an employee may leave work to respond.
Employee signature: __________________________ Date: ______________
4. VOLUNTEER-ORGANIZATION STATEMENT
At the agency's request, the employee may use this statement to document the response.
I verify that [EMPLOYEE] responded to an emergency for [ORGANIZATION].
| Fact | Verification |
|---|---|
| Emergency date | [________________________________] |
| Emergency time | [________________________________] |
| Duration | [________________________________] |
Organization supervisor: ______________________ Date: ______________
5. AGENCY RECORD
- ☐ Standing notice confirmed
- ☐ Emergency notice received as soon as possible
- ☐ Essential-function / public-safety authorization rule reviewed
- ☐ Requested supervisor statement received
- ☐ Mid-shift departure decision recorded
- ☐ Unworked time excluded from regular pay
- ☐ No termination based on a covered absence or late arrival
An employee terminated in violation of § 2-18-624 may bring an action under § 39-2-904 and seek the remedies provided by § 39-2-905. The action must be commenced within one year after termination.
Agency representative: ________________________ Date: ______________
OFFICIAL SOURCE VERIFIED
About this template
- Last updated
- August 10, 2026
- Citations checked
- August 10, 2026
- Jurisdiction
- Montana
- Category
- Employment & HR
Legal authority
- Mont. Code Ann. § 2-18-624 (State-agency volunteer emergency-services provider job protection)
Employment documents govern the relationship between a company and its workers, from offer letters and employment agreements through handbooks, performance reviews, and separations. Done right, they set clear expectations, protect against wrongful termination and discrimination claims, and give both sides a record to rely on. Done poorly, they invite lawsuits, agency complaints, and costly disputes.
Not legal advice
This template is provided for informational purposes. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.
Checked against the law it cites
A reviewer verified this template's legal citations against the official source on August 10, 2026.
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