Fire service based Emergency Medical Services

Local fire departments also respond to medical calls, and can send an ambulance, a multi-purpose response vehicle or even a fire apparatus.^[5] Here, the cross-trained firefighters will provide on scene care and transport for injuries or illness, but are usually backed up by a SMUR unit for more serious or complex cases. Firefighters are trained to provide basic life support (BLS) level care.

Although they also transport casualties and are, in any practical sense, ambulances, their vehicles are instead called a VSAV (véhicule de secours et d'assistance aux victimes – rescue and casualty assistance vehicle).^[6] Volunteer-staffed ambulances may be called a VPS (véhicules de premiers secours – first aid vehicle). The VSAV and VPS are considered to be means of bringing rescue workers and equipment onsite, with the evacuation of patients being only the logical result of the response, but not the primary duty of these response resources.

Class C

Professional fire fighters class C are recruited from volunteer fire fighters or youth fire fighters, age 18 or above, with three years service as Sapper without a civil service exam. Corporals can be recruited with a civil service exam open to direct entry candidates who passed middle school, and through a civil service exam open to volunteer fire fighters or youth fire fighters, with three years service. In 2017, Sapeur de 1re classe was abolished and Sapeur de 2e classe was replaced by the rank of Sapeur,^[8] except for volunteers whose grades remained unchanged.

Promotion to Corporal can occur after three years as Sapper; to Chief Corporal after five years as Corporal.^[9] Sergents are selected through a civil service exam open to team leaders.^[10] Promotion to Adjudant and Chief Adjudant can occur after four years as Sergeant/Chief Sergeant.^[10]

Since 2013, Chief Adjutant is the highest NCO rank of most departments as the rank of Major has been abolished.

Class B

Professional fire fighters class B are recruited through civil service exams open to direct entry candidates with a foundation degree in engineering, and to fire fighters class C with four years service, leading to employment as Lieutenant 1st class; and through a civil service exam open to fire fighters class C qualified as senior crew commanders, leading to employment as Lieutenant 2nd class.^[13] 75% of the promotions from Lieutenant 2nd class to Lieutenant 1st class are through a civil service exam open to Lieutenants 2nd class with three years in the grade; 25 % through selection from Lieutenants 2nd class with five years in the grade. 75 % of the promotions from Lieutenant 1st class to Lieutenant above class are through a civil service exam open to Lieutenants 1st class with three years in the grade; 25 % through selection from Lieutenants 1st class with five years in the grade.^[14] Direct entry lieutenants 1st class are undergoing a 32 weeks course at the French Fire College (Ecole Nationale Supérieure des Officiers de Sapeurs-Pompiers). Lieutenants 2nd class are undergoing a 12-week course at the Fire College, while Lieutenants 1st class promoted from 2nd class, are in addition undergoing a course of 6 weeks.^[15][16][17]

Class A

Professional fire fighters class A are recruited through civil service exams open to direct entry candidates with a bachelor's degree in engineering, and to fire fighters class B qualified as sector commanders.^[18] Commandants are selected through a civil service exam from captains with three years in the grade; lieutenant-colonels from commandants with five years in the grade.^[18] Direct entry captains are undergoing a 42-week course, and internal entry captains a 10-week course, at the National Fire College.^[19][20]

Class A+

Professional fire fighters class A+ hold senior management positions, such as brigade manager, deputy brigade manager, or senior expert for the government.^[21]

Colonels are recruited through civil service exams open to fire fighters class A qualified as area managers. The laureates are undergoing a 32-week course at the National Fire College.^[22]

Colonels hors-classe are selected from colonels with four years in the grade; contrôleurs généraux from colonels hors-classe with at least 8 years of experience as brigade manager, senior manager for the government, or similar positions that are listed by a decree.^[21]

The contrôleur général insignia has 2 pyres. However, some officers who handle special responsibilities within the government can have a 3 pyres insignia.^[11][23]